Provider Demographics
NPI:1124023189
Name:WILLIAMS, ELIZABETH ANNE (ED S, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ED S, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 EXECUTIVE DR
Mailing Address - Street 2:STE 9C
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2410
Mailing Address - Country:US
Mailing Address - Phone:757-826-3181
Mailing Address - Fax:
Practice Address - Street 1:2115 EXECUTIVE DR
Practice Address - Street 2:STE 9C
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2410
Practice Address - Country:US
Practice Address - Phone:757-826-3181
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002325101YP2500X
VA0812000027103TB0200X
VA0717000081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist