Provider Demographics
NPI:1124335062
Name:WILLIAMS, VIRGINIA LEA (MA, PCC)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:LEA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 HUNTERS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-0908
Mailing Address - Country:US
Mailing Address - Phone:419-957-0340
Mailing Address - Fax:
Practice Address - Street 1:1000 N MAIN ST
Practice Address - Street 2:COUNSELING SERVICES
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3653
Practice Address - Country:US
Practice Address - Phone:419-957-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE00006146101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor