MEDICARE: LAUREN WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC010128	PA

General Provider Information

NPI Number	:	1487162830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WILLIAMS

Provider Business Mailing Address
First Line	:	4001 MAIN ST APT 206
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19127-2142
Country	:	US
Telephone Number	:	484-557-8916
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 MAIN ST APT 206
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19127-2142
Country	:	US
Telephone Number	:	484-254-6575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2018
Last Update Date	:	05/14/2026

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