Provider Demographics
NPI:1366649949
Name:WILLIAMS, CYNTHIA WASHINGTON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:WASHINGTON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 CULVER AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-2239
Mailing Address - Country:US
Mailing Address - Phone:843-327-3775
Mailing Address - Fax:843-556-7200
Practice Address - Street 1:353 CULVER AVE
Practice Address - Street 2:655 ST. ANDREWS BOULEVARD
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-2239
Practice Address - Country:US
Practice Address - Phone:843-556-5770
Practice Address - Fax:843-556-7200
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012005101YP2500X
NC14845101YP2500X
SC4599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional