Provider Demographics
NPI:1699391391
Name:WILLIAMS, CAROL L (LPCC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8216 PRINCETON GLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1675
Mailing Address - Country:US
Mailing Address - Phone:513-860-2333
Mailing Address - Fax:513-443-6818
Practice Address - Street 1:8050 BECKETT CENTER DR STE 214
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5018
Practice Address - Country:US
Practice Address - Phone:513-860-2333
Practice Address - Fax:513-443-6818
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2691101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty