Provider Demographics
NPI:1811904360
Name:ATCHISON, WILLIAM (LMSW, ACSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:ATCHISON
Suffix:
Gender:M
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 320650
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-0012
Mailing Address - Country:US
Mailing Address - Phone:810-230-7100
Mailing Address - Fax:
Practice Address - Street 1:4414 LENNON RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1029
Practice Address - Country:US
Practice Address - Phone:810-230-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010047781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI158900OtherBLUE CARE NETWORK
MIP208902260OtherBCBSM INDIVIDUAL PIN
MI158900OtherVALUE OPTONS
MI1002818OtherMCLAREN
MI0007414068OtherAETNA
MI40355OtherCIGNA
MI158900OtherMHS
MI22963900OtherMAGELLAN
MIP20890226OtherHEALTH PLUS
MI158900OtherMHS