Healthcare Provider Details

I. General information

NPI: 1992484042
Provider Name (Legal Business Name): KRISTAL WILLIAMS LMHC, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 NEWMARKET ST # 101-342
BELLINGHAM WA
98226-3811
US

IV. Provider business mailing address

2950 NEWMARKET ST STE 101-342
BELLINGHAM WA
98226-3811
US

V. Phone/Fax

Practice location:
  • Phone: 360-389-2048
  • Fax:
Mailing address:
  • Phone: 360-389-2048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number92679
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLH61634414
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0022258
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: