Healthcare Provider Details

I. General information

NPI: 1992941280
Provider Name (Legal Business Name): EDDIE WILLIAMS IV LCSW, LMHC, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 WAYCROSS DR
SPRING HILL FL
34606-4657
US

IV. Provider business mailing address

6201 WAYCROSS DR
SPRING HILL FL
34606-4657
US

V. Phone/Fax

Practice location:
  • Phone: 352-251-8899
  • Fax: 352-251-8899
Mailing address:
  • Phone: 352-251-8899
  • Fax: 954-990-7650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4353
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW21076
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH12228
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00888400
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2023-0658
License Number StateNM
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW21076
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: