Healthcare Provider Details

I. General information

NPI: 1295647709
Provider Name (Legal Business Name): MIRIAM PALEY-WILLIAMS LICENSED MARRIAGE AND FAMILY THERAPIST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4465 E GENESEE ST STE 116
DE WITT NY
13214-2229
US

IV. Provider business mailing address

4465 E GENESEE ST STE 116
DE WITT NY
13214-2229
US

V. Phone/Fax

Practice location:
  • Phone: 510-214-6261
  • Fax:
Mailing address:
  • Phone: 510-214-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM PALEY-WILLIAMS
Title or Position: OWNER
Credential: LMFT
Phone: 510-214-6261