Provider Demographics
NPI:1184078545
Name:WILLIAMS, COURTNEY FLORES (LCSW-A)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:FLORES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ASHLEY
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4608 RITSON LANE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306
Mailing Address - Country:US
Mailing Address - Phone:706-564-7231
Mailing Address - Fax:
Practice Address - Street 1:2200 CLYBORN CHURCH RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-9356
Practice Address - Country:US
Practice Address - Phone:910-739-9160
Practice Address - Fax:910-739-9155
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0123711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical