Provider Demographics
NPI:1992428049
Name:WILLIAMS, TAMARA FELICIA
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:FELICIA
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 1:301 RANDALL LN APT D
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-8856
Mailing Address - Country:US
Mailing Address - Phone:919-344-3977
Mailing Address - Fax:
Practice Address - Street 1:301 RANDALL LN APT D
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-8856
Practice Address - Country:US
Practice Address - Phone:919-344-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health