Provider Demographics
NPI:1467471938
Name:WILLIAMS, LADONNA MARIE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LADONNA
Middle Name:MARIE
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 1:2904 RIVERVIEW DR APT A
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-7507
Mailing Address - Country:US
Mailing Address - Phone:321-676-3502
Mailing Address - Fax:
Practice Address - Street 1:1 OLEANDER ST STE 4
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-7900
Practice Address - Country:US
Practice Address - Phone:321-960-5419
Practice Address - Fax:321-631-5081
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6986101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health