Healthcare Provider Details

I. General information

NPI: 1861748998
Provider Name (Legal Business Name): APRIL WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2012
Last Update Date: 07/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 LAWRENCEVILLE HWY STE 101
DECATUR GA
30033-3268
US

IV. Provider business mailing address

4132 ATLANTA HWY STE 110-224
LOGANVILLE GA
30052-4930
US

V. Phone/Fax

Practice location:
  • Phone: 770-609-6976
  • Fax:
Mailing address:
  • Phone: 678-288-6550
  • Fax: 678-288-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC005865
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: