Provider Demographics
NPI:1063938637
Name:WILLIAMS, EMILY MCCLUNG (LPC, LAC, AADC, MAC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MCCLUNG
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC, LAC, AADC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3519 PELHAM RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4182
Mailing Address - Country:US
Mailing Address - Phone:864-664-2230
Mailing Address - Fax:864-738-7106
Practice Address - Street 1:3519 PELHAM RD STE 105
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4182
Practice Address - Country:US
Practice Address - Phone:864-664-2230
Practice Address - Fax:864-738-7106
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC188101YA0400X
SC7780101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)