Provider Demographics
NPI:1205979192
Name:WILLIAMSON, ELISABETH ANNE
Entity type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:ANNE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8327 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3986
Mailing Address - Country:US
Mailing Address - Phone:865-560-2560
Mailing Address - Fax:865-560-2580
Practice Address - Street 1:9111 CROSS PARK DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4506
Practice Address - Country:US
Practice Address - Phone:865-560-2560
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN101YM0800XMedicare ID - Type Unspecified