Provider Demographics
NPI:1053001420
Name:WILLIAMS, RAMONICA L (MASTERS)
Entity type:Individual
Prefix:MRS
First Name:RAMONICA
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:MS
Other - First Name:RAMONICA
Other - Middle Name:L
Other - Last Name:KELLAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASTER OF EDUCATION
Mailing Address - Street 1:13325 STATION RAIL WAY APT 420
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-2437
Mailing Address - Country:US
Mailing Address - Phone:502-628-0742
Mailing Address - Fax:
Practice Address - Street 1:13325 STATION RAIL WAY APT 420
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-2437
Practice Address - Country:US
Practice Address - Phone:502-628-0742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional