MEDICARE: MR. PACO 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

General Provider Information

NPI Number	:	1639027451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PACO WILLIAMS

Provider Business Mailing Address
First Line	:	3520 BIRKDALE CT
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-4684
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 BIRKDALE CT
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-4684
Country	:	US
Telephone Number	:	910-882-7219
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

Similar Medicare Providers

1699818484 — DR. ASIM A.Z RAJA DPM
Practice Location Address:

2817 REILLY RD , WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-7324

Practice Phone: 910-907-7502
Practice Fax:

1780839035 — MR. ERIC JOSEPH MCDONOUGH OT
Practice Location Address:

1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674

Practice Phone: 910-672-0061
Practice Fax: 910-672-0061

1346522570 — LYNNE MARIE MCDONOUGH
Practice Location Address:

1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674

Practice Phone: 910-672-0061
Practice Fax: 910-672-0061

1679420988 — MS. ETHEL J ELLIS MSN,RN
Practice Location Address:

1045B ELM ST
FAYETTEVILLE, NC
28303-4068

Practice Phone: 609-532-8400
Practice Fax:

1427905645 — SHAMAR SELLERS
Practice Location Address:

4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC
28303-3460

Practice Phone: 866-727-8274
Practice Fax:

1053269142 — LAKAYLA CHAVIS
Practice Location Address:

934 CAMBRIDGE ST
FAYETTEVILLE, NC
28303-5300

Practice Phone: 910-493-3520
Practice Fax:

Directions to “ MR. PACO WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.