Provider Demographics
NPI:1750584124
Name:WILLIAMS, EILEEN CAROL (LMHC)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:CAROL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 S 3RD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2515
Mailing Address - Country:US
Mailing Address - Phone:425-876-7547
Mailing Address - Fax:425-491-4920
Practice Address - Street 1:4423 S 3RD AVE STE 100
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2515
Practice Address - Country:US
Practice Address - Phone:425-876-7547
Practice Address - Fax:425-491-4920
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008153101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health