Healthcare Provider Details

I. General information

NPI: 1710505896
Provider Name (Legal Business Name): VICTORIA WILLIAMS MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA MCNARY

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 07/23/2023
Certification Date: 07/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 MARK DABLING BLVD STE 100
COLORADO SPRINGS CO
80918-3847
US

IV. Provider business mailing address

7390 WINDY PEAK DR
COLORADO SPRINGS CO
80911-8313
US

V. Phone/Fax

Practice location:
  • Phone: 719-257-7199
  • Fax:
Mailing address:
  • Phone: 520-895-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLPCC.0017530
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0018386
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: