Provider Demographics
NPI:1992941280
Name:WILLIAMS, EDDIE IV (LCSW, LMHC, LMFT)
Entity type:Individual
Prefix:DR
First Name:EDDIE
Middle Name:
Last Name:WILLIAMS
Suffix:IV
Gender:M
Credentials:LCSW, LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 WAYCROSS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4657
Mailing Address - Country:US
Mailing Address - Phone:352-251-8899
Mailing Address - Fax:954-990-7650
Practice Address - Street 1:6201 WAYCROSS DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4657
Practice Address - Country:US
Practice Address - Phone:352-251-8899
Practice Address - Fax:352-251-8899
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12228101YM0800X
NJ37PC00888400101YP2500X
FLSW210761041C0700X
NMCTB-2023-0658101YP2500X
FLMT4353106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist