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NPI Code Detail

MEDICARE: MS. PENELOPE MORTON WILLIAMS M.A.

MEDICARE: MS. PENELOPE MORTON WILLIAMS M.A.
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
1101YM0800XMental Health Counselor2098SC
2101YP2500XProfessional Counselor2098SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12098OTHERRILICENSED PROF COUNSELOR

General Provider Information

NPI Number : 1396839569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PENELOPE MORTON WILLIAMS M.A.
Provider Business Mailing Address
First Line : 6200 YORKSHIRE DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1832
Country : US
Telephone Number : 803-695-0477
Fax Number : 803-253-4090
Provider Business Practice Location Address
First Line : 2015 MARION ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2113
Country : US
Telephone Number : 803-898-0123
Fax Number : 803-253-4090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/11/2025

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