MEDICARE: MRS. BARBARA A WILLIAMS M.S., 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	16549	FL

General Provider Information

NPI Number	:	1255480612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA A WILLIAMS M.S., LMHC

Provider Business Mailing Address
First Line	:	PO BOX 110279
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32911-0279
Country	:	US
Telephone Number	:	512-638-0814
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 CORBIN CIR SW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32908-8168
Country	:	US
Telephone Number	:	512-638-0814
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/14/2022

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