Provider Demographics
NPI:1952694564
Name:WILLIAMS, LILLIAN ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 HAY RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:ME
Mailing Address - Zip Code:04449-3036
Mailing Address - Country:US
Mailing Address - Phone:207-327-2091
Mailing Address - Fax:
Practice Address - Street 1:157 PARK ST STE 35
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5094
Practice Address - Country:US
Practice Address - Phone:207-631-9466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC4233101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional