Provider Demographics
NPI:1043690688
Name:WILLIAMS-HEATH, ROZALIND (LCSW)
Entity Type:Individual
Prefix:
First Name:ROZALIND
Middle Name:
Last Name:WILLIAMS-HEATH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 MANDALAY PKWY
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6117
Mailing Address - Country:US
Mailing Address - Phone:404-734-8013
Mailing Address - Fax:
Practice Address - Street 1:1208 MANDALAY PKWY
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-6117
Practice Address - Country:US
Practice Address - Phone:404-734-8013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0053201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical