Provider Demographics
NPI:1013148907
Name:WILLIAMS, YULANDA (EDD, LPC, NCC, CRC)
Entity Type:Individual
Prefix:DR
First Name:YULANDA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:EDD, LPC, NCC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4453 MCMANUS CT
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5031
Mailing Address - Country:US
Mailing Address - Phone:706-799-1549
Mailing Address - Fax:706-869-1954
Practice Address - Street 1:4453 MCMANUS CT
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-5031
Practice Address - Country:US
Practice Address - Phone:706-799-1549
Practice Address - Fax:706-869-1954
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool