Provider Demographics
NPI:1740457613
Name:WILLIAMS, DOUGLAS (MA, LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:STEPHEN
Other - Middle Name:DOUGLAS
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2410 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1517
Mailing Address - Country:US
Mailing Address - Phone:615-321-2575
Mailing Address - Fax:615-327-4536
Practice Address - Street 1:2410 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1517
Practice Address - Country:US
Practice Address - Phone:615-321-2575
Practice Address - Fax:615-327-4536
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-10
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2124101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional