MEDICARE: MR. THOMAS ALLEN WILLIAMS M.A.,LPCC

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	E911	OH

General Provider Information

NPI Number	:	1942318027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS ALLEN WILLIAMS M.A.,LPCC

Provider Business Mailing Address
First Line	:	2125 RESERVE CIR N
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44053-3097
Country	:	US
Telephone Number	:	440-282-8254
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 COOPER FOSTER PARK RD W
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44053-4201
Country	:	US
Telephone Number	:	440-282-1383
Fax Number	:

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	07/08/2007

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