Healthcare Provider Details

I. General information

NPI: 1629433198
Provider Name (Legal Business Name): JAMES NICHOLAS WILLIAMS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WHITE AVE
NASHVILLE TN
37204-2235
US

IV. Provider business mailing address

810 STARGLEN CT
SMYRNA TN
37167-8244
US

V. Phone/Fax

Practice location:
  • Phone: 615-460-4120
  • Fax:
Mailing address:
  • Phone: 615-295-5762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3857
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: