Healthcare Provider Details

I. General information

NPI: 1033073747
Provider Name (Legal Business Name): LYNETTE WILLIAMS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 E POST RD
MARION IA
52302-5200
US

IV. Provider business mailing address

1040 E POST RD
MARION IA
52302-5200
US

V. Phone/Fax

Practice location:
  • Phone: 319-777-2182
  • Fax:
Mailing address:
  • Phone: 319-777-2182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LYNETTE WILLIAMS
Title or Position: THERAPIST
Credential: MA, LMFT, CST
Phone: 319-360-0184