Healthcare Provider Details

I. General information

NPI: 1215684899
Provider Name (Legal Business Name): TAMEKA M WILLIAMS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 N CENTENNIAL DR FL 3
MUNSTER IN
46321-4077
US

IV. Provider business mailing address

9601 N CENTENNIAL DR FL 3
MUNSTER IN
46321-4077
US

V. Phone/Fax

Practice location:
  • Phone: 219-357-7656
  • Fax: 219-357-7657
Mailing address:
  • Phone: 219-357-7657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005479A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: