Provider Demographics
NPI:1598387086
Name:WILLIAMS, WALTER (LPC)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 S 8TH ST STE 404
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-4946
Mailing Address - Country:US
Mailing Address - Phone:608-957-7277
Mailing Address - Fax:608-252-1333
Practice Address - Street 1:2921 LANDMARK PL STE 215
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-4248
Practice Address - Country:US
Practice Address - Phone:608-957-7277
Practice Address - Fax:608-252-1333
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI8145-125OtherTHE STATE OF WISCONSIN MARRIAGE AND FAMILY THERAPY, PROFESSIONAL COUNSELING, AND
ALLPC04958OtherSTATE OF ALABAMA THE ALABAMA BOARD OF EXAMINERS IN COUNSELING
WI4442OtherWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES