Mr Douglas Carlton Williams, MS, LP & LMFT is a
Marriage & Family Therapist based in Minneapolis, Minnesota. Mr Douglas Carlton Williams is licensed to practice in Minnesota (license number 179) and his current practice location is
1516 W Lake St, Suite 103, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 823-3707.
NPI number for Mr Douglas Carlton Williams is 1255465803 and his current mailing address is 2712 Fremont Ave S, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255465803.
Healthcare Provider's Profile
| Full Name | Mr Douglas Carlton Williams |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 1516 W Lake St, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255465803
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Douglas Carlton Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255465803 | NPI | - | NPPES |
| 6253218 | Other | | UBH |
| 66G32WI | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0000X | Psychologist - Family | LP0994 (Minnesota) | Primary |
| 103TF0200X | Psychologist - Forensic | LP0994 (Minnesota) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | LO0994 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 179 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Carlton Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Douglas Carlton Williams, MS, LP & LMFT
2712 Fremont Ave S,
Minneapolis, MN 55408-1122
Ph: (612) 823-3707 | Mr Douglas Carlton Williams, MS, LP & LMFT
1516 W Lake St, Suite 103,
Minneapolis, MN 55408-2554
Ph: (612) 823-3707 |
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