Provider Demographics
NPI:1487453312
Name:WILLIAMS, TONYA LANETTA (BSHA, MA, CHAA)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:LANETTA
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:BSHA, MA, CHAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18115 MAPLEBORO AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-2771
Mailing Address - Country:US
Mailing Address - Phone:440-514-9676
Mailing Address - Fax:
Practice Address - Street 1:18115 MAPLEBORO AVE
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2771
Practice Address - Country:US
Practice Address - Phone:440-514-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide