Active NPI
Williams Lifecare Services LLC
- Intellectual & Developmental Disabilities Psychologist
- Columbia, MO
National Provider Identifier
1609635788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- WILLIAMS LIFECARE SERVICES LLC
- Practice address
- 3105 Woods Crossing Dr
Columbia, MO 65202-5752 - Phone
- (573) 691-9983
- NPI assigned
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Keyona Nicole Williams
- Title
- Owner
- Phone
- (573) 691-9983
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
3105 Woods Crossing Dr
Columbia, MO 65202-5752
Mailing address
3105 Woods Crossing Dr
Columbia, MO 65202-5752
Phone (573) 691-9983
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1609635788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 WOODS CROSSING DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652025752",
"telephone_number": "573-691-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 WOODS CROSSING DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652025752",
"telephone_number": "573-691-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS LIFECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KEYONA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-691-9983",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.