Provider Demographics
NPI:1295617074
Name:WILLIAMS, BREYONIA B (MSW, PCMHT, PCCSS)
Entity type:Individual
Prefix:
First Name:BREYONIA
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, PCMHT, PCCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 OLD JACKSON RD APT 2912
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-0578
Mailing Address - Country:US
Mailing Address - Phone:769-355-9045
Mailing Address - Fax:769-355-9045
Practice Address - Street 1:604 HIGHWAY 80 W STE 6
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-4108
Practice Address - Country:US
Practice Address - Phone:769-355-9045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator