Provider Demographics
NPI:1295967487
Name:WILLIAMS, MARGARET L (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 INGLESIDE AVE
Mailing Address - Street 2:BLDG B STE 102C
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204
Mailing Address - Country:US
Mailing Address - Phone:478-743-0376
Mailing Address - Fax:478-743-0377
Practice Address - Street 1:2484 INGLESIDE AVE
Practice Address - Street 2:BLDG B STE 102C
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204
Practice Address - Country:US
Practice Address - Phone:478-743-0376
Practice Address - Fax:478-743-0377
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC005576OtherLPC