Provider Demographics
NPI:1861289563
Name:WILLIAMS, DIAMOND LEEORA
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:LEEORA
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 1:15340 WARD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-3893
Mailing Address - Country:US
Mailing Address - Phone:231-683-8472
Mailing Address - Fax:
Practice Address - Street 1:30301 NORTHWESTERN HWY
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3214
Practice Address - Country:US
Practice Address - Phone:248-837-2033
Practice Address - Fax:548-554-6505
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst