Provider Demographics
NPI:1285878579
Name:WILLIAMS, ELIZABETH A (MS, LCPC, CDVP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LCPC, CDVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:180 N STETSON AVE
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-6710
Mailing Address - Country:US
Mailing Address - Phone:312-268-5730
Mailing Address - Fax:312-268-5801
Practice Address - Street 1:180 N STETSON AVE
Practice Address - Street 2:SUITE 3500
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-6710
Practice Address - Country:US
Practice Address - Phone:312-268-5730
Practice Address - Fax:312-268-5801
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional