Provider Demographics
NPI:1891303426
Name:WILLIAMS, CHERYL E (LPC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3374 CAROLINA WREN TRL SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-6283
Mailing Address - Country:US
Mailing Address - Phone:678-542-0990
Mailing Address - Fax:
Practice Address - Street 1:1870 THE EXCHANGE
Practice Address - Street 2:SUITE 200 - 361
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:770-407-5453
Practice Address - Fax:770-692-3735
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional