Provider Demographics
NPI:1235438292
Name:WILLIAMS, LATRICE B (LPC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:LATRICE
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 W WADE HAMPTON BLVD STE F129
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1146
Mailing Address - Country:US
Mailing Address - Phone:203-257-0420
Mailing Address - Fax:
Practice Address - Street 1:1361 W WADE HAMPTON BLVD STE F129
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1146
Practice Address - Country:US
Practice Address - Phone:203-257-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6959101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional