Provider Demographics
NPI:1568112290
Name:COREY WILLIAMS PLLC
Entity Type:Organization
Organization Name:COREY WILLIAMS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:CAITLYN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCASA
Authorized Official - Phone:828-785-9544
Mailing Address - Street 1:146 TRINITY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-5465
Mailing Address - Country:US
Mailing Address - Phone:828-785-9544
Mailing Address - Fax:
Practice Address - Street 1:146 TRINITY CREEK DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-5465
Practice Address - Country:US
Practice Address - Phone:828-785-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty