Healthcare Provider Details

I. General information

NPI: 1205856440
Provider Name (Legal Business Name): GEOFFREY WILLIAMS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 TAYOR @ MARION ST. PALMETTO BAPTIST COUNSELING CENTER
COLUMBIA SC
29201
US

IV. Provider business mailing address

1321 LADY ST. FIRST FLOOR PALMETTO HEALTH
COLUMBIA SC
29201
US

V. Phone/Fax

Practice location:
  • Phone: 803-296-2548
  • Fax: 803-296-2525
Mailing address:
  • Phone: 803-296-2548
  • Fax: 803-296-2525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number06010621
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2547
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: