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General NPI Number Information
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NPI Number | 1790915353
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Entity Type | Individual
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Provider Name | JOSHUA COY WILLIAMS LPC, MHSP
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Gender | Male
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 3214 TAZEWELL PIKE STE 206
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City | KNOXVILLE
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State | TN
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Zip | 37918
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Country | US
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Telephone | 865-567-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 TAZEWELL PIKE STE 206
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City | KNOXVILLE
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State | TN
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Zip | 37918-2578
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Country | US
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Telephone | 865-567-5104
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4017
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License Number State | TN
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