Provider Demographics
NPI:1235291402
Name:WILLIAMS, GALIA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:GALIA
Middle Name:ANN
Last Name:WILLIAMS
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 1:2300 21ST AVE S
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4927
Mailing Address - Country:US
Mailing Address - Phone:615-385-5656
Mailing Address - Fax:615-385-5518
Practice Address - Street 1:2300 21ST AVE S
Practice Address - Street 2:SUITE 302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4927
Practice Address - Country:US
Practice Address - Phone:615-385-5656
Practice Address - Fax:615-385-5518
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW8031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN155781OtherBCBST
TN5938038OtherAETNA
TN242535000OtherMAGELLAN
TN3694149Medicare ID - Type Unspecified