Provider Demographics
NPI:1588174445
Name:WILLIAMS, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8977 COLUMBIA RD STE A
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-1100
Mailing Address - Country:US
Mailing Address - Phone:513-409-3635
Mailing Address - Fax:513-402-0408
Practice Address - Street 1:8977 COLUMBIA RD STE A
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-1100
Practice Address - Country:US
Practice Address - Phone:513-409-3635
Practice Address - Fax:513-402-0408
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X
OHS.2207514104100000X, 1041C0700X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)