Healthcare Provider Details

I. General information

NPI: 1649062928
Provider Name (Legal Business Name): DR WILLIAMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 FITZGERALD RD
SEQUIM WA
98382-7893
US

IV. Provider business mailing address

PO BOX 1691
SEQUIM WA
98382-4328
US

V. Phone/Fax

Practice location:
  • Phone: 319-759-6543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. KATIE LYNN WILLIAMS
Title or Position: FOUNDER/PSYCHOLOGIST
Credential: PH.D., M.S., LMHC
Phone: 319-759-6543