Provider Demographics
NPI:1588482103
Name:WILLIAMS, PAIGE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 OSWEGO ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2471
Mailing Address - Country:US
Mailing Address - Phone:315-256-0450
Mailing Address - Fax:
Practice Address - Street 1:44 OSWEGO ST STE 3
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2471
Practice Address - Country:US
Practice Address - Phone:315-256-0450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health