Evelyn Williams, CLINICAL DIRECTOR is a
Community Based Residential Treatment Facility, Mental Illness based in Mesa, Arizona. Evelyn Williams is licensed to practice in * (Not Available) (license number ) and her current practice location is
20348 E Warner Rd, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 751-7483.
NPI number for Evelyn Williams is 1548417231 and her current mailing address is 20348 E Warner Rd, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548417231.
Healthcare Provider's Profile
| Full Name | Evelyn Williams |
|---|
| Gender | Female |
|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|
| Location | 20348 E Warner Rd, Mesa, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548417231
- Provider Enumeration Date: 08/25/2008
- Last Update Date: 11/09/2009
Medical Identifiers
Medical identifiers for Evelyn Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548417231 | NPI | - | NPPES |
| 438547 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 102X00000X | Poetry Therapist | (* (Not Available)) | Secondary |
| 177F00000X | Lodging | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
| 320600000X | Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evelyn Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evelyn Williams, CLINICAL DIRECTOR
20348 E Warner Rd,
Mesa, AZ 85212-9655
Ph: (480) 751-7483 | Evelyn Williams, CLINICAL DIRECTOR
20348 E Warner Rd,
Mesa, AZ 85212-9655
Ph: (480) 751-7483 |
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