Provider Demographics
NPI:1487430500
Name:WILLIAMS THERAPEUTIC & CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:WILLIAMS THERAPEUTIC & CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SIKERIA
Authorized Official - Middle Name:UBRI
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:404-740-0585
Mailing Address - Street 1:24532 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-7110
Mailing Address - Country:US
Mailing Address - Phone:404-740-0585
Mailing Address - Fax:
Practice Address - Street 1:24532 SCENIC DR
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-7110
Practice Address - Country:US
Practice Address - Phone:404-740-0585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty