Provider Demographics
NPI:1750035390
Name:WILLIAMSON, TEESHA M (BSW)
Entity Type:Individual
Prefix:
First Name:TEESHA
Middle Name:M
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 TUMBLEWEED DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-3419
Mailing Address - Country:US
Mailing Address - Phone:843-496-0252
Mailing Address - Fax:
Practice Address - Street 1:921 TUMBLEWEED DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-3419
Practice Address - Country:US
Practice Address - Phone:843-496-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)