Healthcare Provider Details

I. General information

NPI: 1134962558
Provider Name (Legal Business Name): KESLEY DANIELLE WILLIAMS ROGERS LPC-MHSP, NCC, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KESLEY DANIELLE WILLIAMS

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 TRAVIS DR STE 211
NASHVILLE TN
37211-3742
US

IV. Provider business mailing address

4015 TRAVIS DR STE 211
NASHVILLE TN
37211-3742
US

V. Phone/Fax

Practice location:
  • Phone: 205-774-1446
  • Fax:
Mailing address:
  • Phone: 205-774-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number7132
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: