Provider Demographics
NPI:1710315650
Name:WILLIAMS, DARA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11427 REED HARTMAN HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2418
Mailing Address - Country:US
Mailing Address - Phone:513-833-6833
Mailing Address - Fax:
Practice Address - Street 1:11427 REED HARTMAN HWY STE 105
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-2418
Practice Address - Country:US
Practice Address - Phone:513-833-6833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61076977101YM0800X
NC16489101YM0800X
OHC.0900293101YP2500X
COLPC.0014423101YP2500X
GALPC010527101YP2500X
IL180011639101YP2500X
VA0701008812101YP2500X
OHE.0900293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health