MEDICARE: DARCHELL YVETTE WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency
4	101YS0200X	School Counselor	VA

General Provider Information

NPI Number	:	1851263099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCHELL YVETTE WILLIAMS

Provider Business Mailing Address
First Line	:	1018 LYNDON CIR
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-1528
Country	:	US
Telephone Number	:	757-256-0505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 LYNDON CIR
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-1528
Country	:	US
Telephone Number	:	757-256-0505
Fax Number	:

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

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	10/24/2025

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