Provider Demographics
NPI:1407109358
Name:WILLIAMS, KRISTAN (LPC)
Entity type:Individual
Prefix:
First Name:KRISTAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KRISTAN
Other - Middle Name:
Other - Last Name:LOVELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3901 ROGERS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3077
Mailing Address - Country:US
Mailing Address - Phone:479-651-8383
Mailing Address - Fax:479-397-4876
Practice Address - Street 1:3901 ROGERS AVE STE C
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3077
Practice Address - Country:US
Practice Address - Phone:479-651-8383
Practice Address - Fax:479-397-4876
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1710302101YM0800X
ARP2003025101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health