Provider Demographics
NPI:1407550486
Name:WILLIAMS, AMANDA MARGARET (LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARGARET
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 1:7428 BENECIA DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-7215
Mailing Address - Country:US
Mailing Address - Phone:713-408-1230
Mailing Address - Fax:
Practice Address - Street 1:7428 BENECIA DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817-7215
Practice Address - Country:US
Practice Address - Phone:713-408-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019278101YP2500X
TX84675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional