Provider Demographics
NPI:1750272787
Name:WILLIAMS, GERMAINEE DESIANA - AWESOME
Entity type:Individual
Prefix:
First Name:GERMAINEE
Middle Name:DESIANA - AWESOME
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JERMAINEE
Other - Middle Name:DESIANA-AWESOME
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3992 E 144TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-1870
Mailing Address - Country:US
Mailing Address - Phone:216-415-0579
Mailing Address - Fax:
Practice Address - Street 1:3100 E 45TH ST STE 320
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1091
Practice Address - Country:US
Practice Address - Phone:216-415-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health