Provider Demographics
NPI:1154204386
Name:WILLIAMS, RIKETA (MA,LMFT)
Entity type:Individual
Prefix:
First Name:RIKETA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 S POTTER RD
Mailing Address - Street 2:
Mailing Address - City:HEATH SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29058-9397
Mailing Address - Country:US
Mailing Address - Phone:803-374-1955
Mailing Address - Fax:
Practice Address - Street 1:2713 S POTTER RD
Practice Address - Street 2:
Practice Address - City:HEATH SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29058-9397
Practice Address - Country:US
Practice Address - Phone:803-291-5616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8284106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty