Healthcare Provider Details

I. General information

NPI: 1295484806
Provider Name (Legal Business Name): BRITNEY CHE WILLIAMS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4703 NW 53RD AVE STE A2
GAINESVILLE FL
32653-3403
US

IV. Provider business mailing address

4703 NW 53RD AVE STE A2
GAINESVILLE FL
32653-3403
US

V. Phone/Fax

Practice location:
  • Phone: 352-332-6131
  • Fax:
Mailing address:
  • Phone: 352-332-6131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: