Provider Demographics
NPI:1285973032
Name:WILLIAMS, ALLISON (MA, LPC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 COBB PKWY NW
Mailing Address - Street 2:SUITE 902
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-9532
Mailing Address - Country:US
Mailing Address - Phone:404-542-6999
Mailing Address - Fax:800-634-6360
Practice Address - Street 1:3950 COBB PKWY NW
Practice Address - Street 2:SUITE 902
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-9532
Practice Address - Country:US
Practice Address - Phone:404-542-6999
Practice Address - Fax:800-634-6360
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008385101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional