Provider Demographics
NPI:1568917474
Name:WILLIAMS COUNSELING & RESOURCE CENTER LLC.
Entity Type:Organization
Organization Name:WILLIAMS COUNSELING & RESOURCE CENTER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-994-3507
Mailing Address - Street 1:326 PARROT HILL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-9071
Mailing Address - Country:US
Mailing Address - Phone:702-994-5507
Mailing Address - Fax:
Practice Address - Street 1:4326 W CHEYENNE AVE STE 109
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2484
Practice Address - Country:US
Practice Address - Phone:702-994-3507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAMS COUNSELING & RESOURCE CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5090-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty