Provider Demographics
NPI:1508339235
Name:WILLIAMS, KRISTIE (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:KRISTIE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PALAFOX PL UNIT 13384
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32591-7838
Mailing Address - Country:US
Mailing Address - Phone:850-542-1213
Mailing Address - Fax:850-542-1216
Practice Address - Street 1:1610 BARRANCAS AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5212
Practice Address - Country:US
Practice Address - Phone:850-542-1213
Practice Address - Fax:850-542-1216
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health