Provider Demographics
NPI:1841735099
Name:WILLIAMS, TAMMY L (LCPC)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 E MAIN ST STE F
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5269
Mailing Address - Country:US
Mailing Address - Phone:717-465-0943
Mailing Address - Fax:
Practice Address - Street 1:229 E MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5269
Practice Address - Country:US
Practice Address - Phone:717-465-0943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9268101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health