Healthcare Provider Details

I. General information

NPI: 1417865643
Provider Name (Legal Business Name): WILLIAMS BEHAVIORAL HEALTH INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 SW 167TH ST
OCALA FL
34473-3629
US

IV. Provider business mailing address

4011 SW 167TH ST
OCALA FL
34473-3629
US

V. Phone/Fax

Practice location:
  • Phone: 352-251-8899
  • Fax:
Mailing address:
  • Phone: 352-251-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. EDDIE WILLIAMS IV
Title or Position: THERAPIST AND SOCIAL WORKER
Credential: LCSW, LMHC, LMFT
Phone: 352-251-8899