Provider Demographics
NPI:1689546954
Name:WILLIAMS, LATORYA (CHWI)
Entity type:Individual
Prefix:
First Name:LATORYA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CHWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 SCOTT WAY
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-1963
Mailing Address - Country:US
Mailing Address - Phone:281-892-9633
Mailing Address - Fax:
Practice Address - Street 1:6000 SCOTT WAY
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-1963
Practice Address - Country:US
Practice Address - Phone:281-892-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX449172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker