Provider Demographics
NPI:1699033795
Name:WILLIAMS, NATALIE CLARICE (LPCA)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:CLARICE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E INNES ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-5189
Mailing Address - Country:US
Mailing Address - Phone:704-630-6634
Mailing Address - Fax:866-828-5520
Practice Address - Street 1:204 E INNES ST
Practice Address - Street 2:SUITE 280
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-5189
Practice Address - Country:US
Practice Address - Phone:704-630-6634
Practice Address - Fax:866-828-5520
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health