Healthcare Provider Details

I. General information

NPI: 1114666419
Provider Name (Legal Business Name): ANDREA DANIELLE WILLIAMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1899 POWERS FERRY RD SE FL 2
ATLANTA GA
30339-5620
US

IV. Provider business mailing address

1899 POWERS FERRY RD SE FL 2
ATLANTA GA
30339-5620
US

V. Phone/Fax

Practice location:
  • Phone: 678-831-0608
  • Fax: 678-831-0564
Mailing address:
  • Phone: 678-831-0608
  • Fax: 678-831-0564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC009911
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: