Provider Demographics
NPI:1447797121
Name:WILLIAMS, AURIELLE CHRISTINA (LMFT)
Entity Type:Individual
Prefix:
First Name:AURIELLE
Middle Name:CHRISTINA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5853 KEYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5693
Mailing Address - Country:US
Mailing Address - Phone:913-579-4835
Mailing Address - Fax:
Practice Address - Street 1:5853 KEYSTONE LN
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-5693
Practice Address - Country:US
Practice Address - Phone:913-579-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALAMFT000435106H00000X
GAMFT001586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist