Provider Demographics
NPI:1215349444
Name:WILLIAMS, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS ED LMHC
Mailing Address - Street 1:803 WEST AVE
Mailing Address - Street 2:HUTHER DOYLE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-2453
Mailing Address - Country:US
Mailing Address - Phone:585-325-5100
Mailing Address - Fax:
Practice Address - Street 1:803 WEST AVE
Practice Address - Street 2:HUTHER DOYLE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-2453
Practice Address - Country:US
Practice Address - Phone:585-325-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health