Provider Demographics
NPI:1649770629
Name:WILLIAMS, KAROL (MS, LPC, ET)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LPC, ET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 W PINNACLE POINTE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8153
Mailing Address - Country:US
Mailing Address - Phone:479-685-3202
Mailing Address - Fax:479-271-9598
Practice Address - Street 1:204 S 24TH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1129
Practice Address - Country:US
Practice Address - Phone:479-685-3202
Practice Address - Fax:479-271-9598
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1705298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional