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General NPI Number Information
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NPI Number | 1992941280
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Entity Type | Individual
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Provider Name | EDDIE WILLIAMS IV LCSW, LMHC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 6201 WAYCROSS DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4657
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Country | US
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Telephone | 352-251-8899
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Fax | 352-251-8899
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Provider Business Mailing Address
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Address Line | 6201 WAYCROSS DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4657
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Country | US
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Telephone | 352-251-8899
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Fax | 954-990-7650
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT4353
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW21076
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12228
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00888400
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CTB-2023-0658
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW21076
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License Number State | FL
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