Provider Demographics
NPI:1255823555
Name:WILLIAMS, SIKERIA UBRI (LPC)
Entity type:Individual
Prefix:
First Name:SIKERIA
Middle Name:UBRI
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SIKERIA
Other - Middle Name:
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLPC
Mailing Address - Street 1:41700 GARDENBROOK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1320
Mailing Address - Country:US
Mailing Address - Phone:404-740-0585
Mailing Address - Fax:
Practice Address - Street 1:24532 SCENIC DR
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-7110
Practice Address - Country:US
Practice Address - Phone:404-740-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223474101Y00000X
MI6451017545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty