Provider Demographics
NPI:1629460324
Name:WILLIAMS, MONICA DONNELL (LPC NCC LCDC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:DONNELL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC NCC LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23461 HIGHWAY 59 APT 723
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-5155
Mailing Address - Country:US
Mailing Address - Phone:757-450-3187
Mailing Address - Fax:
Practice Address - Street 1:600 COBBLESTONE CIR APT 107
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-0067
Practice Address - Country:US
Practice Address - Phone:757-450-3187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006105101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional