Provider Demographics
NPI:1629284963
Name:WILLIAMS, SCOTT W (LIMFT, LPC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:W
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LIMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4621
Mailing Address - Country:US
Mailing Address - Phone:330-829-1088
Mailing Address - Fax:
Practice Address - Street 1:1077 W STATE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4621
Practice Address - Country:US
Practice Address - Phone:330-829-1088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF1000007106H00000X
OHC.0500372101YP2500X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral