Provider Demographics
NPI:1144761750
Name:VALERIE K WILLIAMS
Entity Type:Organization
Organization Name:VALERIE K WILLIAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SELF
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-465-8717
Mailing Address - Street 1:5901 S 58TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3646
Mailing Address - Country:US
Mailing Address - Phone:402-440-9037
Mailing Address - Fax:402-465-8717
Practice Address - Street 1:5901 S 58TH ST STE B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3646
Practice Address - Country:US
Practice Address - Phone:402-440-9037
Practice Address - Fax:402-465-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4541101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026648000Medicaid