Provider / Organization | NPI | Date Certified |
---|---|---|
STAR ORA WILLIAMS | 1487195327 | 2024-10-13 |
Star Ora Williams is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487195327. Registration indicates Star Ora Williams is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist) (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Ms. Star Ora Williams MSW, LICSW |
Other Provider Name | Susan Ora Williams |
Practice Office Address | 3251 FERNBROOK LN N PLYMOUTH, MN US |
Practice Office Telephone | 6122685858 |
Practice Office Fax | 6122685868 |
Mailing Address | 7401 METRO BLVD STE 250 EDINA, MN 554393062 US |
Business Telephone | 6122685858 |
Business Fax | 6122685868 |
Code | Practice | License No State |
---|---|---|
104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 29948
MN |
225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |
29948 | OTHER | MN | PROFESSIONAL LI |