Provider Demographics
NPI:1497026108
Name:WILLIAMS HITSON, DARA LEIGH
Entity Type:Individual
Prefix:MRS
First Name:DARA
Middle Name:LEIGH
Last Name:WILLIAMS HITSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4608 BOB WHITE RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-4415
Mailing Address - Country:US
Mailing Address - Phone:865-363-0879
Mailing Address - Fax:
Practice Address - Street 1:4608 BOB WHITE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-4415
Practice Address - Country:US
Practice Address - Phone:865-363-0879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor