| Gail Williams Pllc | |
|
749 S 30th St Apt 17 Grand Forks ND 58201-4082 | |
| (701) 317-2646 | |
| Not Available |
| Full Name | Gail Williams Pllc |
|---|---|
| Speciality | Counselor |
| Location | 749 S 30th St Apt 17, Grand Forks, North Dakota |
| Authorized Official Name and Position | Gail Williams (OWNER) |
| Authorized Official Contact | 7013172646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gail Williams Pllc 749 S 30th St Apt 17 Grand Forks ND 58201-4082 Ph: (701) 317-2646 | Gail Williams Pllc 749 S 30th St Apt 17 Grand Forks ND 58201-4082 Ph: (701) 317-2646 |
| NPI Number | 1386412856 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 6800239534 |
|---|---|
| Medicare Enrollment ID | O20240208003936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386412856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gail Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396973111 PECOS PAC ID: 7618310343 Enrollment ID: I20240301000528 |
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