Organization
POPULATIONS AND INTERVENTIONS TEAM COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERCEDES MERRITT WILLIAMS DBH, MPH, ABVE, CCM (CEO/OWNER)
(678) 310-9707
Entity
Organization
Contact information
Practice address
2518 AMMONS ST, ANNISTON, AL 36201
(678) 310-9707
(470) 875-0086
Mailing address
3182 BERTHAS OVERLOOK, DOUGLASVILLE, GA 30135-8458
(678) 310-9707
(470) 875-0083
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
28315
IN
103TC0700X
Clinical Psychologist
Primary
40044
KS
103TF0200X
Forensic Psychologist
28315
IN
103TP2701X
Group Psychotherapy Psychologist
28315
IN
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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