Provider Demographics
NPI:1053472944
Name:WILLIAMS, ANN GEORGINA (LIMHP, LPC, LADC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:GEORGINA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LIMHP, LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8112 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-3246
Mailing Address - Country:US
Mailing Address - Phone:402-613-0691
Mailing Address - Fax:
Practice Address - Street 1:8109 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-2256
Practice Address - Country:US
Practice Address - Phone:402-613-0691
Practice Address - Fax:800-496-7283
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2573101YM0800X
NE1388101Y00000X
NE527101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)