Organization
ACCESS TO CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVONNE RENAE WILLIAMS MSW (MEMEBER)
(248) 595-8681
Entity
Organization
Contact information
Practice address
15800 PROVIDENCE DR, ROOM 400 B1, SOUTHFIELD, MI 48075
(248) 595-8681
Mailing address
15800 PROVIDENCE DR RM 400B1, SOUTHFIELD, MI 48075-3145
(248) 595-8681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
6801086344
MI
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801086344
MSW
MI
Enumeration date
06/15/2017
Last updated
07/21/2022
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