Provider Demographics
NPI:1598895971
Name:WILLIAMS, PAMELA AMERSON (MS CACI)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:AMERSON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS CACI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6196
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-6196
Mailing Address - Country:US
Mailing Address - Phone:843-665-9349
Mailing Address - Fax:843-669-6122
Practice Address - Street 1:601 GREGG AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501
Practice Address - Country:US
Practice Address - Phone:843-665-9349
Practice Address - Fax:843-669-6122
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)