Provider Demographics
NPI:1841758307
Name:WILLIAMS, ERICKA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:ERICKA
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ERICKA
Other - Middle Name:L
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:118 NORTH AVE STE K
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-8408
Mailing Address - Country:US
Mailing Address - Phone:678-907-0388
Mailing Address - Fax:678-261-6465
Practice Address - Street 1:118 NORTH AVE STE K
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-8408
Practice Address - Country:US
Practice Address - Phone:678-907-0388
Practice Address - Fax:678-261-6465
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010820101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor