Provider Demographics
NPI:1427152461
Name:WILLIAMS, JOYCE A (LPC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:SWANSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28584-0329
Mailing Address - Country:US
Mailing Address - Phone:910-581-5942
Mailing Address - Fax:910-326-2342
Practice Address - Street 1:785 W CORBETT AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SWANSBORO
Practice Address - State:NC
Practice Address - Zip Code:28584-8453
Practice Address - Country:US
Practice Address - Phone:910-581-5942
Practice Address - Fax:910-326-2342
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3100101YP2500X
VA0701003256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC426091OtherMHN PRACTITIONER ID
NC6103960Medicaid