Healthcare Provider Details

I. General information

NPI: 1194429605
Provider Name (Legal Business Name): KAREN LYNN WILLIAMS MS, ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 PORTER AVE APT 410
MARTINSBURG WV
25401-1822
US

IV. Provider business mailing address

110 MAIN ST
BECKLEY WV
25801-4611
US

V. Phone/Fax

Practice location:
  • Phone: 202-792-4107
  • Fax:
Mailing address:
  • Phone: 202-792-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: