Provider Demographics
NPI:1437545290
Name:WILLIAMS, DONNA (LMHC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 TOUCHTON RD E
Mailing Address - Street 2:BLDG. 100 STE. 150
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8299
Mailing Address - Country:US
Mailing Address - Phone:904-647-1555
Mailing Address - Fax:
Practice Address - Street 1:4600 TOUCHTON RD E
Practice Address - Street 2:BLDG. 100 STE. 150
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8299
Practice Address - Country:US
Practice Address - Phone:904-647-1555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH8217101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health