Healthcare Provider Details

I. General information

NPI: 1255297669
Provider Name (Legal Business Name): TERISA WILLIAMS, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 CASON LN APT 3102
MURFREESBORO TN
37128-0754
US

IV. Provider business mailing address

1709 CASON LN APT 3102
MURFREESBORO TN
37128-0754
US

V. Phone/Fax

Practice location:
  • Phone: 615-913-2117
  • Fax:
Mailing address:
  • Phone: 615-913-2117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TERISA WILLIAMS
Title or Position: OWNER
Credential: LCSW
Phone: 615-913-2117