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NPI Code Detail

MEDICARE: MR. STANLEY S. WILLIAMS II M.ED

MEDICARE: MR. STANLEY S. WILLIAMS II M.ED
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1982077129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY S. WILLIAMS II M.ED
Provider Business Mailing Address
First Line : 1436 MAPLE DR
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-4822
Country : US
Telephone Number : 405-205-7171
Fax Number :
Provider Business Practice Location Address
First Line : 6715 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3437
Country : US
Telephone Number : 405-602-4705
Fax Number : 405-242-2190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 11/10/2015

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