MEDICARE: ALLISON WILLIAMS

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
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1184330763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON WILLIAMS

Provider Business Mailing Address
First Line	:	521 ALCOVE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-3408
Country	:	US
Telephone Number	:	314-882-0390
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 SHERMAN DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-3976
Country	:	US
Telephone Number	:	314-577-0444
Fax Number	:	888-977-3461

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

Provider Enumeration Date	:	01/26/2023
Last Update Date	:	01/26/2023

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Directions to “ ALLISON WILLIAMS ” Practice Location

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