Provider Demographics
NPI:1407094162
Name:WILLIAMS, CECELIA L (PSYD, MSW)
Entity Type:Individual
Prefix:DR
First Name:CECELIA
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 ORCHARD RD.
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4904
Mailing Address - Country:US
Mailing Address - Phone:770-293-1950
Mailing Address - Fax:770-293-1955
Practice Address - Street 1:4045 ORCHARD RD SE
Practice Address - Street 2:SUITE 110
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4902
Practice Address - Country:US
Practice Address - Phone:770-293-1950
Practice Address - Fax:770-293-1955
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003254103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical