Provider Demographics
NPI:1013760545
Name:WILLIAMS, HEATHER LEANN (MA, AMFT)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:LEANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S LOS ROBLES AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3208
Mailing Address - Country:US
Mailing Address - Phone:805-558-8649
Mailing Address - Fax:
Practice Address - Street 1:833 TIPTON TER
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-1253
Practice Address - Country:US
Practice Address - Phone:805-558-8649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT145347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health