Provider Demographics
NPI:1962589499
Name:WILLIAMS, SHERYL MIMS (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:MIMS
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 1:5000 THURMOND MALL
Mailing Address - Street 2:SUITE 115
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2372
Mailing Address - Country:US
Mailing Address - Phone:803-779-2777
Mailing Address - Fax:803-779-5775
Practice Address - Street 1:5000 THURMOND MALL
Practice Address - Street 2:SUITE 115
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2372
Practice Address - Country:US
Practice Address - Phone:803-779-2777
Practice Address - Fax:803-779-5775
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1372101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health