1013146521 NPI number — MS. MARJORIE A WILLIAMS MC, LISAC, LPC

Table of content: MS. MARJORIE A WILLIAMS MC, LISAC, LPC (NPI 1013146521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013146521 NPI number — MS. MARJORIE A WILLIAMS MC, LISAC, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
MARJORIE
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MC, LISAC, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WILLIAMS
Provider Other First Name:
MARGIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MC, LISAC, LPC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013146521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7315 N ORACLE RD
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85704-6319
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-404-7700
Provider Business Mailing Address Fax Number:
520-579-2597

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7315 N ORACLE RD
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85704-6319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-404-7700
Provider Business Practice Location Address Fax Number:
520-579-2597
Provider Enumeration Date:
07/06/2009

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: 101YA0400X , with the licence number:  11727 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 12393 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com