Provider Demographics
NPI:1851668677
Name:WILLIAMS COUNSELING PC
Entity Type:Organization
Organization Name:WILLIAMS COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MENTAL HEALTH THERAIPIEST
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MHS,LIMHP
Authorized Official - Phone:402-208-6963
Mailing Address - Street 1:3721 N 75TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-4411
Mailing Address - Country:US
Mailing Address - Phone:402-208-6963
Mailing Address - Fax:
Practice Address - Street 1:3721 N 75TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4411
Practice Address - Country:US
Practice Address - Phone:402-208-6963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty