Provider Demographics
NPI:1578754628
Name:WILLIAMS, TENETHREA M (LPC)
Entity Type:Individual
Prefix:
First Name:TENETHREA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 GISELLE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-5087
Mailing Address - Country:US
Mailing Address - Phone:470-410-9790
Mailing Address - Fax:501-441-2329
Practice Address - Street 1:108 GISELLE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-5087
Practice Address - Country:US
Practice Address - Phone:470-410-9790
Practice Address - Fax:501-441-2329
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2109020101YP2500X
ARP0909056101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional