Doctor Name: | NICOLE WILLIAMS |
NPI Number: | 1669860961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LBS |
License Number: | BH002067 |
Business Practice Address: | 1808 Colonial Village Ln Suite 103 Lancaster, PA - 176016745 |
Business Phone Number: | 7173910172 |
Business Fax Number: | 7173917771 |
Mailing Address: | 1808 Colonial Village Ln, Suite 103 LANCASTER |
State: | PA |
Postal Code: | 176016745 |
Phone Number: | 7173910172 |
Fax Number: | 7173917771 |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | BH002067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |