Provider Demographics
NPI:1558877191
Name:WILLIAMS, LYLE (LMFT)
Entity Type:Individual
Prefix:
First Name:LYLE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 CLAUSER RD N
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-2479
Mailing Address - Country:US
Mailing Address - Phone:203-614-9226
Mailing Address - Fax:
Practice Address - Street 1:114 CLAUSER RD N
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120-2479
Practice Address - Country:US
Practice Address - Phone:203-614-9226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2020-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist