Provider Demographics
NPI:1770725277
Name:WILLIAMS, JAVON M (LPC)
Entity type:Individual
Prefix:MS
First Name:JAVON
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
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Mailing Address - Street 1:2520 WINDY HILL RD SE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8664
Mailing Address - Country:US
Mailing Address - Phone:770-953-6401
Mailing Address - Fax:770-953-6015
Practice Address - Street 1:2520 WINDY HILL RD SE
Practice Address - Street 2:SUITE 203
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8664
Practice Address - Country:US
Practice Address - Phone:770-953-6401
Practice Address - Fax:770-953-6015
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC005575101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional