Provider Demographics
NPI:1609583368
Name:WILLIAMS, MARLON C (PHD, LPC, NCC, CPCS)
Entity Type:Individual
Prefix:DR
First Name:MARLON
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHD, LPC, NCC, CPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 WEBB BRIDGE RD STE 3086
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4256
Mailing Address - Country:US
Mailing Address - Phone:404-969-5670
Mailing Address - Fax:
Practice Address - Street 1:956 BECKWITH ST SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-3123
Practice Address - Country:US
Practice Address - Phone:404-969-5670
Practice Address - Fax:912-809-4288
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA012330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health