Provider Demographics
NPI:1124422316
Name:WILLIAMS, ANNETTE LYCINDA (BS)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:LYCINDA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 UNIVERSITY AVE
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-3833
Mailing Address - Country:US
Mailing Address - Phone:412-482-4124
Mailing Address - Fax:
Practice Address - Street 1:1824 UNIVERSITY AVE
Practice Address - Street 2:APT. 1
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214-3833
Practice Address - Country:US
Practice Address - Phone:412-482-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)