Provider Demographics
NPI:1942363262
Name:WILLIAMS, CANDACE BODY (EDD, LPC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:BODY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 DONERAIL DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-5911
Mailing Address - Country:US
Mailing Address - Phone:770-595-0078
Mailing Address - Fax:678-990-3997
Practice Address - Street 1:4304 DONERAIL DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-5911
Practice Address - Country:US
Practice Address - Phone:770-339-5091
Practice Address - Fax:678-990-3997
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health