Provider Demographics
NPI:1477317808
Name:WILLIAMS-THOMPSON, PATRICIA ANN (RMHCI)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:WILLIAMS-THOMPSON
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4100 CORPORATE SQ STE 150
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4704
Mailing Address - Country:US
Mailing Address - Phone:239-529-8833
Mailing Address - Fax:
Practice Address - Street 1:4100 CORPORATE SQ STE 150
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-4704
Practice Address - Country:US
Practice Address - Phone:239-529-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25397101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor