Healthcare Provider Details

I. General information

NPI: 1346151958
Provider Name (Legal Business Name): COURTNEY HALENA WILLIAMS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 ARMOUR DR NE STE E
ATLANTA GA
30324-3975
US

IV. Provider business mailing address

1111 CHAMBERS DR
HEPHZIBAH GA
30815-4485
US

V. Phone/Fax

Practice location:
  • Phone: 706-910-3970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: