THERESA WILLIAMS NPI 1235561069

NPI Information

NPI: 1235561069
Provider Name: THERESA WILLIAMS
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address: 301 STONE ST
WILDWOOD, FL
ZIP 34785
Phone: (352) 748-7032

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NPI Details

THERESA WILLIAMS is a community based residential treatment facility mental illness in Wildwood, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THERESA WILLIAMS NPI is 1235561069. The provider is registered as an organization entity type.

The provider's business location address is:

301 STONE ST
WILDWOOD, FL
ZIP 34785-344
Phone: (352) 748-7032
Fax: (352) 748-7032

The provider's authorized official is Theresa L Williams .
The authorized official title is Lpn and has the following contact phone number (352) 748-7032.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 8/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	347C00000X	Private Vehicle	WER1234	FLORIDA	No
2	385H00000X	Respite Care		FLORIDA	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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