Provider Demographics
NPI:1255973129
Name:WILLIAMS, NICHOLE FRANCES (LMHCA)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:FRANCES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 ALASKA ST S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-8799
Mailing Address - Country:US
Mailing Address - Phone:253-393-0458
Mailing Address - Fax:
Practice Address - Street 1:33440 1ST WAY S STE 204
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6222
Practice Address - Country:US
Practice Address - Phone:253-393-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60953987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health