Provider Demographics
NPI:1144978859
Name:COY-WILLIAMS, CHENELLE (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:CHENELLE
Middle Name:
Last Name:COY-WILLIAMS
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 HANNA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25387-1403
Mailing Address - Country:US
Mailing Address - Phone:304-951-7280
Mailing Address - Fax:
Practice Address - Street 1:1313 QUARRIER ST STE B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-6002
Practice Address - Country:US
Practice Address - Phone:304-981-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional