1982003372 NPI number — A. KAY WILLIAMS-DAWSON MS, MFT

Table of content: A. KAY WILLIAMS-DAWSON MS, MFT (NPI 1982003372)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982003372 NPI number — A. KAY WILLIAMS-DAWSON MS, MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS-DAWSON
Provider First Name:
A.
Provider Middle Name:
KAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982003372
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 570303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33257-0303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-964-5101
Provider Business Mailing Address Fax Number:
305-964-5297

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10383 SW 186TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUTLER BAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33157-6824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-964-5101
Provider Business Practice Location Address Fax Number:
305-964-5297
Provider Enumeration Date:
08/21/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP1600X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)