MS. BERTHA WILLIAMS NPI 1396338943

NPI Information

NPI: 1396338943
Provider Name: MS. BERTHA WILLIAMS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2442 TONGASS AVE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 617-7703
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MS. Bertha Williams is a mental health counselor in Ketchikan, AK. MS. Bertha Williams NPI is 1396338943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2442 TONGASS AVE
KETCHIKAN, AK
ZIP 99901-928
Phone: (907) 617-7703
Fax: (907) 885-6613

The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/15/2021.

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	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1706368	MEDICAID	ALASKA
2	1708282	MEDICAID	ALASKA
3	1707579	MEDICAID	ALASKA
4	1708274	MEDICAID	ALASKA
5	1713721	MEDICAID	ALASKA
6	1708307	MEDICAID	ALASKA

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: 11/14/2023

NPI Synchronization or Removal

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