Healthcare Provider Details

I. General information

NPI: 1144505645
Provider Name (Legal Business Name): SKYLOR RAMON WILLIAMS M.S., LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2011
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N FOUNTAIN AVE
SPRINGFIELD OH
45502-1118
US

IV. Provider business mailing address

11907 HIRST AVE
CLEVELAND OH
44135-2201
US

V. Phone/Fax

Practice location:
  • Phone: 937-325-5564
  • Fax:
Mailing address:
  • Phone: 512-769-5191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number68349
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2507640
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: