Healthcare Provider Details

I. General information

NPI: 1114544038
Provider Name (Legal Business Name): AIMEE D. WILLIAMS MHS, LPC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5835 CAMPBELLTON RD SW
ATLANTA GA
30331-8013
US

IV. Provider business mailing address

5835 CAMPBELLTON RD SW
ATLANTA GA
30331-8013
US

V. Phone/Fax

Practice location:
  • Phone: 404-666-9261
  • Fax:
Mailing address:
  • Phone: 404-666-9261
  • Fax: 866-404-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number004738
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: