Doctor Name: | BETTY B WILLIAMS |
NPI Number: | 1235233479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 003981 |
Business Practice Address: | 1636 Connally Dr East Point, GA - 303442558 |
Business Phone Number: | 4047624042 |
Business Fax Number: | |
Mailing Address: | 1873 S Carisbrook Pl, AUSTELL |
State: | GA |
Postal Code: | 301685147 |
Phone Number: | 4047624042 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 003981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |