TEQUITA DOUGLAS BS
NPI 1215765706
Case Manager/Care Coordinator in Carbondale, IL

Q: What is Tequita Douglas's NPI number?

The NPI number for Tequita Douglas is 1215765706. It was assigned to this individual provider in the NPPES registry on July 25, 2024. The provider is also known as Tequita Williams.

Q: What is Tequita Douglas's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Tequita Douglas was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2024

2311 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-6703(618) 549-3734 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tequita Douglas Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEQUITA DOUGLAS BS (NPI 1215765706) is an individual case manager/care coordinator provider in Carbondale, Illinois and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1215765706

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTEQUITA DOUGLASCredential: BS

Location Address2311 S ILLINOIS AVECarbondale, IL 62903-5912

Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440

Phone(618) 457-6703

Fax(618) 549-3734

Sole ProprietorNo

Enumeration DateJuly 25, 2024

NPPES CertifiedJuly 25, 2024

✔ NPI 1215765706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2311 S ILLINOIS AVE, Carbondale, IL 62903

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Other Names 1

Former Name (1)Tequita Williams

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY MARGARET MACDONALD

Counselor (Mental Health)