MEDICARE: A. KAY WILLIAMS-DAWSON MS, MFT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor		FL
2	106H00000X	Marriage & Family Therapist		FL

General Provider Information

NPI Number	:	1982003372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	A. KAY WILLIAMS-DAWSON MS, MFT

Provider Business Mailing Address
First Line	:	PO BOX 570303
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33257-0303
Country	:	US
Telephone Number	:	305-964-5101
Fax Number	:	305-964-5297

Provider Business Practice Location Address
First Line	:	10383 SW 186TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6824
Country	:	US
Telephone Number	:	305-964-5101
Fax Number	:	305-964-5297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2014
Last Update Date	:	08/21/2014

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