Provider Demographics
NPI:1962141911
Name:MCWILLIAMS, ANNE GRACE (MS, QMHP-C)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:GRACE
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:MS, QMHP-C
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 233
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-0021
Mailing Address - Country:US
Mailing Address - Phone:228-596-6194
Mailing Address - Fax:
Practice Address - Street 1:310 SW 2ND ST UNIT 233
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-0804
Practice Address - Country:US
Practice Address - Phone:228-596-6194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-28
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR23-QMHPC-001248101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health