Provider Demographics
NPI:1710505896
Name:WILLIAMS, VICTORIA (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:MCNARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7390 WINDY PEAK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-8313
Mailing Address - Country:US
Mailing Address - Phone:520-895-9040
Mailing Address - Fax:
Practice Address - Street 1:5475 MARK DABLING BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3847
Practice Address - Country:US
Practice Address - Phone:719-257-7199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.00175301041C0700X
COLPC.0018386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical