| Doctor Name: | TINA WILLIAMS |
| NPI Number: | 1174753750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LIMHP, LMHP, LPC |
| License Number: | 2050 |
| Business Practice Address: | 4110 Avenue D Scottsbluff, NE - 693614650 |
| Business Phone Number: | 3086353171 |
| Business Fax Number: | 3086357026 |
| Mailing Address: | 4110 Avenue D, SCOTTSBLUFF |
| State: | NE |
| Postal Code: | 693614650 |
| Phone Number: | 3086353171 |
| Fax Number: | 3086357026 |
| NPI Enumeration Date: | 07/17/2009 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2050 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |