Provider Demographics
NPI:1710264635
Name:WILLIAMS, KAREN EICHMAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:EICHMAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 S PINEY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MANSON
Mailing Address - State:NC
Mailing Address - Zip Code:27553-9629
Mailing Address - Country:US
Mailing Address - Phone:252-213-8502
Mailing Address - Fax:
Practice Address - Street 1:75 S PINEY GROVE RD
Practice Address - Street 2:
Practice Address - City:MANSON
Practice Address - State:NC
Practice Address - Zip Code:27553-9629
Practice Address - Country:US
Practice Address - Phone:252-213-8502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8222101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104967OtherNC MEDICAID