NPI Code Details Logo

NPI 1679673800

NPI 1679673800 : KAREN JANEEN WILLIAMS PSY D, LCMHC : SHELBY, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679673800
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAREN JANEEN WILLIAMS PSY D, LCMHC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2006
-----------------------------------------------------
    Last Update Date     |    07/25/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    411 CHERRYVILLE RD 
-----------------------------------------------------
    City                 |    SHELBY
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28150-3651
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    704-669-3678
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    253 FRANKLIN CT 
-----------------------------------------------------
    City                 |    STANLEY
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28164-9609
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    704-915-2777
-----------------------------------------------------
    Fax                  |    980-938-8533
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    5057
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.