Healthcare Provider Details

I. General information

NPI: 1548420078
Provider Name (Legal Business Name): KYLE LEE WILLIAMS MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 10/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S HOWARD ST STE 428
SPOKANE WA
99201-3816
US

IV. Provider business mailing address

4108 E 15TH AVE
SPOKANE WA
99223-5245
US

V. Phone/Fax

Practice location:
  • Phone: 509-315-6265
  • Fax:
Mailing address:
  • Phone: 509-315-6265
  • Fax: 509-315-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60483167
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: