Provider Demographics
NPI:1023222676
Name:WILLIAMS, DENISE MARIE (MA, LPCC-S)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 N SANDUSKY ST STE 206
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1763
Mailing Address - Country:US
Mailing Address - Phone:419-688-1552
Mailing Address - Fax:
Practice Address - Street 1:163 N SANDUSKY ST STE 206
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1763
Practice Address - Country:US
Practice Address - Phone:419-688-1552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0600004101YM0800X
OHE 0600004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH867160OtherANTHEM