Provider Demographics
NPI:1124811856
Name:WILLIAMS, JOHNNY EMMANUEL
Entity type:Individual
Prefix:
First Name:JOHNNY
Middle Name:EMMANUEL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9308 CHERRY HILL ROAD
Mailing Address - Street 2:APT. 203
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1233
Mailing Address - Country:US
Mailing Address - Phone:301-326-8471
Mailing Address - Fax:
Practice Address - Street 1:9308 CHERRY HILL ROAD
Practice Address - Street 2:APT. 203
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1233
Practice Address - Country:US
Practice Address - Phone:301-326-8471
Practice Address - Fax:301-326-8471
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor