Healthcare Provider Details

I. General information

NPI: 1073637534
Provider Name (Legal Business Name): RONALD KEITH WILLIAMS-GARCIA LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RONALD KEITH WILLIAMS LMFT

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 CALLE REAL
BAYAMON PR
00956-9243
US

IV. Provider business mailing address

117 CALLE REAL
BAYAMON PR
00956-9243
US

V. Phone/Fax

Practice location:
  • Phone: 787-507-5523
  • Fax:
Mailing address:
  • Phone: 787-507-5523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000526
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: