Doctor Name: | MS. AMBER DENISE WILLIAMS |
NPI Number: | 1033400924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | 1183 |
Business Practice Address: | 2608 Ring Rd Suite 102 Elizabethtown, KY - 427017945 |
Business Phone Number: | 2707639577 |
Business Fax Number: | 2707636938 |
Mailing Address: | 2608 Ring Rd, Suite 102 ELIZABETHTOWN |
State: | KY |
Postal Code: | 427017945 |
Phone Number: | 2707639577 |
Fax Number: | 2707636938 |
NPI Enumeration Date: | 04/26/2011 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |