Organization
POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC)
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
3182 BERTHAS OVERLOOK, DOUGLASVILLE, GA 30135-8458
(610) 310-9707
(470) 875-0083
Mailing address
3182 BERTHAS OVERLOOK, DOUGLASVILLE, GA 30135-8458
(610) 310-9707
(470) 875-0083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
40044
CA
103TP2701X
Group Psychotherapy Psychologist
28315
IN
405300000X
Prevention Professional
—
FL
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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