Provider Demographics
NPI:1134587504
Name:WILLIAMS, DEMETRIA M (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DEMETRIA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:DEMETRIA
Other - Middle Name:A
Other - Last Name:MARRIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 BEACHLAND BLVD STE 1-2027
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1710
Mailing Address - Country:US
Mailing Address - Phone:772-202-0178
Mailing Address - Fax:772-672-3816
Practice Address - Street 1:505 BEACHLAND BLVD STE 1-2027
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-1710
Practice Address - Country:US
Practice Address - Phone:772-202-0178
Practice Address - Fax:772-672-3816
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health