Provider Demographics
NPI:1558677930
Name:WILLIAMS-PERRY, CYNTHIA MONIQUE (MA MED)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MONIQUE
Last Name:WILLIAMS-PERRY
Suffix:
Gender:F
Credentials:MA MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-1006
Mailing Address - Country:US
Mailing Address - Phone:803-708-4712
Mailing Address - Fax:
Practice Address - Street 1:2018 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1006
Practice Address - Country:US
Practice Address - Phone:803-708-4712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor