Healthcare Provider Details

I. General information

NPI: 1831831874
Provider Name (Legal Business Name): ANASTASIA ELLEN WILLIAMS LCPC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 H ST NE
WASHINGTON DC
20002-7184
US

IV. Provider business mailing address

609 H ST NE
WASHINGTON DC
20002-7184
US

V. Phone/Fax

Practice location:
  • Phone: 833-401-1577
  • Fax:
Mailing address:
  • Phone: 833-401-1577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC14012
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberLGP11796
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: