Provider Demographics
NPI:1255480612
Name:WILLIAMS, BARBARA A (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 110279
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32911-0279
Mailing Address - Country:US
Mailing Address - Phone:512-638-0814
Mailing Address - Fax:
Practice Address - Street 1:531 CORBIN CIR SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-8168
Practice Address - Country:US
Practice Address - Phone:512-638-0814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16549101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health