Provider Demographics
NPI:1215090006
Name:WILLIAMS, HOVEY ELLIS III (MS)
Entity type:Individual
Prefix:MR
First Name:HOVEY
Middle Name:ELLIS
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2235
Mailing Address - Country:US
Mailing Address - Phone:630-232-0502
Mailing Address - Fax:630-232-0502
Practice Address - Street 1:125 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2235
Practice Address - Country:US
Practice Address - Phone:630-232-0502
Practice Address - Fax:630-232-0502
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional