Provider Demographics
NPI:1891537593
Name:WILLIAMS, SERENITY (P-LPC)
Entity type:Individual
Prefix:
First Name:SERENITY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:P-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4744 WE ROSS PKWY APT 40-208
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-7894
Mailing Address - Country:US
Mailing Address - Phone:901-832-1270
Mailing Address - Fax:
Practice Address - Street 1:9851 MS-178
Practice Address - Street 2:SUITE 1
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654
Practice Address - Country:US
Practice Address - Phone:662-253-8324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical