Provider Demographics
NPI:1558641811
Name:WILLIAMS, NAKESHIA N (LPC)
Entity Type:Individual
Prefix:MS
First Name:NAKESHIA
Middle Name:N
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 LONG CREEK GREEN DR APT 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2878
Mailing Address - Country:US
Mailing Address - Phone:678-521-3468
Mailing Address - Fax:980-819-7318
Practice Address - Street 1:4824 PARKWAY PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-1970
Practice Address - Country:US
Practice Address - Phone:704-423-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8817101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional