MEDICARE: DI'ONNA WILLIAMS LAPC

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	APC004941	GA
2	101YM0800X	Mental Health Counselor	APC004941	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APC004941	OTHER	GA	LICENSE

General Provider Information

NPI Number	:	1902130586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DI'ONNA WILLIAMS LAPC

Provider Business Mailing Address
First Line	:	10 PERIMETER PARK DR
Second Line	:	APT 552
City	:	ATLANTA
State	:	GA
Zip	:	30341-1321
Country	:	US
Telephone Number	:	617-842-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 CARPENTER DR
Second Line	:	STE 400
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4931
Country	:	US
Telephone Number	:	678-460-0345
Fax Number	:

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

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	04/21/2016

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Directions to “ DI'ONNA WILLIAMS LAPC” Practice Location

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