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NPI Code Detail

MEDICARE: MS. NAKESHIA N WILLIAMS LPC

MEDICARE: MS. NAKESHIA N WILLIAMS LPC
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
1101YP2500XProfessional Counselor8817NC

General Provider Information

NPI Number : 1558641811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NAKESHIA N WILLIAMS LPC
Provider Business Mailing Address
First Line : 9410 LONG CREEK GREEN DR APT 201
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-2878
Country : US
Telephone Number : 678-521-3468
Fax Number : 980-819-7318
Provider Business Practice Location Address
First Line : 4824 PARKWAY PLAZA BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1970
Country : US
Telephone Number : 704-423-0051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 08/18/2011

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