MEDICARE: WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	251S00000X	Community/Behavioral Health Agency
3	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1740946003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT

Provider Business Mailing Address
First Line	:	13109 FAULKNER LAKE RD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-5358
Country	:	US
Telephone Number	:	501-590-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	13109 FAULKNER LAKE RD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-5358
Country	:	US
Telephone Number	:	501-590-2488
Fax Number	:	501-325-9640

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	NAKIA DENIESE WILLIAMS
Credential	:
Telephone Number	:	501-613-7559

Provider Enumeration Date	:	11/11/2021
Last Update Date	:	11/11/2021

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