MEDICARE: GLORYS WILLIAMS LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	21965	FL

General Provider Information

NPI Number	:	1124788773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORYS WILLIAMS LMHC

Provider Business Mailing Address
First Line	:	776 W LUMSDEN RD STE 7
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8805
Country	:	US
Telephone Number	:	813-550-1219
Fax Number	:	727-609-9883

Provider Business Practice Location Address
First Line	:	776 W LUMSDEN RD STE 7
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8805
Country	:	US
Telephone Number	:	813-550-1219
Fax Number	:	727-609-9883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	04/06/2026

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Directions to “ GLORYS WILLIAMS LMHC” Practice Location

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