Provider Demographics
NPI:1396924502
Name:WILLIAMS, ERIC ANTOINE (LPCS, LMFT, BCC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ANTOINE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LPCS, LMFT, BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27620
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5043
Mailing Address - Country:US
Mailing Address - Phone:910-364-9709
Mailing Address - Fax:877-604-9199
Practice Address - Street 1:5135 MORGANTON RD STE 201
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1525
Practice Address - Country:US
Practice Address - Phone:910-364-9709
Practice Address - Fax:877-604-9199
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1295106H00000X
NCS6948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist