1972802635 NPI number — MRS. DANAH ALEXANDRA WILLIAMS MFT

Table of content: MRS. DANAH ALEXANDRA WILLIAMS MFT (NPI 1972802635)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972802635 NPI number — MRS. DANAH ALEXANDRA WILLIAMS MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
DANAH
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DAVIS
Provider Other First Name:
DANAH
Provider Other Middle Name:
ALEXANDRA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972802635
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
629 STATE ST
Provider Second Line Business Mailing Address:
SUITE 243
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93101-7069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-804-5608
Provider Business Mailing Address Fax Number:
805-456-0383

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
629 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 243
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-7069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-804-5608
Provider Business Practice Location Address Fax Number:
805-456-0383
Provider Enumeration Date:
03/21/2011

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: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: MFC84078 , registered in the state of CA ; 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