Healthcare Provider Details

I. General information

NPI: 1871542852
Provider Name (Legal Business Name): AMIE MARIE WILLIAMS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMIE MARIE HILL PH.D.

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6223 HIGHWAY 90 STE 199
MILTON FL
32570-1705
US

IV. Provider business mailing address

6223 HIGHWAY 90 STE 199
MILTON FL
32570-1705
US

V. Phone/Fax

Practice location:
  • Phone: 850-276-2631
  • Fax:
Mailing address:
  • Phone: 850-276-2631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1217
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY9742
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: