Individual
DEMONTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS,CHW
Contact information
Practice address
2655 W GUADALUPE RD UNIT SUITE7, MESA, AZ 85202-7259
(314) 494-7603
Mailing address
12309 W CAMBRIDGE AVE, AVONDALE, AZ 85392-5575
(251) 477-5676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
CHW0000000323
AZ
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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