Provider Demographics
NPI:1154426864
Name:POWELL-WILLIAMS, ANNIE MARIE (MSW)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:MARIE
Last Name:POWELL-WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SIMMONS DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:CALHOUN CITY
Mailing Address - State:MS
Mailing Address - Zip Code:38916-9522
Mailing Address - Country:US
Mailing Address - Phone:662-927-0400
Mailing Address - Fax:
Practice Address - Street 1:800 E RIVER PL STE 100
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202-3402
Practice Address - Country:US
Practice Address - Phone:769-251-5550
Practice Address - Fax:662-728-9803
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health