D Williams Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

19439 Issued in MN

Legal business name

D WILLIAMS INC

Practice address

522 Beltrami Ave NW
Suite 116
Bemidji, MN 56601-3001

Phone

(218) 252-8821

NPI assigned

Oct 17, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deonne Marie Williams, LICSW

Title

President Ceo

Phone

(218) 252-8821

Specialties & licenses 2

Addresses

Tax ID family

D Williams Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little Bird PSC

  • Adolescent and Children Mental Health Clinic/Center
  • Laporte, MN
  • NPI 1447507942
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1689125437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW",
            "address_2": "SUITE 116",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013001",
            "telephone_number": "218-252-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW",
            "address_2": "SUITE 116",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013001",
            "telephone_number": "218-252-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D WILLIAMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEONNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "218-252-8821",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "19439",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "19439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Crowson, LADC
• Alyssa Faye Cummings, REGISTERED NURSE
• Ashley Cunderla
• Derek David Czywczynski, O.D.
• Heather Ann Czywczynski, FNP
• D&D'S Caring Hearts, Inc.
• Annette Arlene Daedlow
• Carol Jean Daigle
• Khadija Danbala
• Nathan Daniels, OTR/L

• Adolescent and Children Mental Health Clinic/Center in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.