MEDICARE: MRS. NORMA L 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	101YP2500X	Professional Counselor	3425	AL
2	101YP2500X	Professional Counselor	LPC012365	GA

General Provider Information

NPI Number	:	1558009027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORMA L WILLIAMS

Provider Business Mailing Address
First Line	:	615 PEAR ST
Second Line	:
City	:	WEST POINT
State	:	GA
Zip	:	31833-5227
Country	:	US
Telephone Number	:	706-585-0142
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 PEAR ST
Second Line	:
City	:	WEST POINT
State	:	GA
Zip	:	31833-5227
Country	:	US
Telephone Number	:	706-585-0142
Fax Number	:

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

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	05/24/2022

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Directions to “ MRS. NORMA L WILLIAMS ” Practice Location

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