Doctor Name: | BEVERLY H WILLIAMS |
NPI Number: | 1013305218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC007277 |
Business Practice Address: | 1768 Veterans Memorial Hwy Sw Bldg 2, Unit 3 Austell, GA - 301687902 |
Business Phone Number: | 6787427525 |
Business Fax Number: | 6787427526 |
Mailing Address: | Po Box 452, MABLETON |
State: | GA |
Postal Code: | 301260452 |
Phone Number: | 4043755682 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2014 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC007277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |