Healthcare Provider Details

I. General information

NPI: 1962849802
Provider Name (Legal Business Name): SCARLETT WILLIAMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2013
Last Update Date: 06/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6827 DUNKARD RD
DUBLIN VA
24084-5645
US

IV. Provider business mailing address

6827 DUNKARD RD
DUBLIN VA
24084-5645
US

V. Phone/Fax

Practice location:
  • Phone: 703-226-9112
  • Fax:
Mailing address:
  • Phone: 703-226-9112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701005353
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: