MEDICARE: CYNTHIA ELIZABETH WILLIAMS LLPC

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	101Y00000X	Counselor	6401006531	MI

General Provider Information

NPI Number	:	1528578358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ELIZABETH WILLIAMS LLPC

Provider Business Mailing Address
First Line	:	20810 MELROSE ST
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-5680
Country	:	US
Telephone Number	:	248-403-6488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 E LANTZ ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48203-1376
Country	:	US
Telephone Number	:	313-368-4267
Fax Number	:	313-368-4800

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

Provider Enumeration Date	:	10/06/2017
Last Update Date	:	12/05/2025

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