Provider Demographics
NPI:1881448025
Name:WILLIAMS, SHARELL SHONTA (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:SHARELL
Middle Name:SHONTA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 TREVOR RDG
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9416
Mailing Address - Country:US
Mailing Address - Phone:252-340-1270
Mailing Address - Fax:
Practice Address - Street 1:161 TREVOR RDG
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-9416
Practice Address - Country:US
Practice Address - Phone:252-340-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17679101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor