Antoinnette Williams | Tacoma, WA • PECOS Search

Antoinnette Williams

Counselor

Behavioral Health & Social Service Providers

1201 S Proctor St, Tacoma, WA 98405-2047

(253) 396-5817 (253) 446-7707

PECOS Enrollment

Based on the most recent information from CMS, provider Antoinnette Williams does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1306288873
Provider Type
Individual
Full Name
Williams, Antoinnette
Gender
Female

Sole Proprietor
No
Enumeration Date
7/24/2013
Last Updated
7/24/2013

Contact Information

Practice Location

1201 S Proctor St, Tacoma, WA 98405-2047

Unlisted Fax

Mailing Location

2710 13th Street Pl SW, Puyallup, WA 98373-6041

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer Washington