MEDICARE: CARRIE 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	MH15449	FL

General Provider Information

NPI Number	:	1548504392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE WILLIAMS

Provider Business Mailing Address
First Line	:	3975 20TH ST STE G
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2493
Country	:	US
Telephone Number	:	772-633-9325
Fax Number	:	772-617-1957

Provider Business Practice Location Address
First Line	:	3975 20TH ST STE G
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2493
Country	:	US
Telephone Number	:	772-584-5650
Fax Number	:	772-617-1957

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

Provider Enumeration Date	:	11/18/2012
Last Update Date	:	03/10/2026

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Directions to “ CARRIE WILLIAMS ” Practice Location

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