Provider Demographics
NPI:1578075008
Name:WILLIAMS COUNSELING
Entity Type:Organization
Organization Name:WILLIAMS COUNSELING
Other - Org Name:SUZYLYNNE WILLIAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SOCIAL WOKER
Authorized Official - Prefix:
Authorized Official - First Name:SUZYLYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-573-4397
Mailing Address - Street 1:45 FARMSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-1313
Mailing Address - Country:US
Mailing Address - Phone:860-573-4397
Mailing Address - Fax:
Practice Address - Street 1:435 BUCKLAND RD BLDG LOWER
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-3720
Practice Address - Country:US
Practice Address - Phone:860-470-6002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009521251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health