Provider Demographics
NPI:1275956906
Name:WILLIAMS, KATHY (RMHT)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11254 58TH ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-2213
Mailing Address - Country:US
Mailing Address - Phone:727-545-6477
Mailing Address - Fax:727-545-6464
Practice Address - Street 1:400 15TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-2018
Practice Address - Country:US
Practice Address - Phone:727-545-6477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health