| Mr Nicholas Antonio Williams, NCC, LPC | |
|
12890 Harbor Dr, Woodbridge, VA 22192-2921 | |
| (571) 316-1020 | |
| Not Available |
| Full Name | Mr Nicholas Antonio Williams |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 12890 Harbor Dr, Woodbridge, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720338627 | NPI | - | NPPES |
| 2013135052 | Medicaid | VA |
| Entity Name | Indelible Changes, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720540107 PECOS PAC ID: 9234578808 Enrollment ID: O20240415004072 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Antonio Williams, NCC, LPC 4191 Waterway Dr, Dumfries, VA 22025-1602 Ph: (703) 474-0585 | Mr Nicholas Antonio Williams, NCC, LPC 12890 Harbor Dr, Woodbridge, VA 22192-2921 Ph: (571) 316-1020 |
Addie Mae Brown, LPC, LMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 352, Woodbridge, VA 22192 Phone: 703-270-1017 |
Elizabeth Sue Wyman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 833-510-4357 |
Mr. Dekiegai Eleazer Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14786 Barksdale St, Woodbridge, VA 22193 Phone: 703-864-4561 |
Caitlin Lisee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 301, Woodbridge, VA 22192 Phone: 703-492-2994 |
Mr. Michael Howard Borash, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1388 Old Bridge Rd, Woodbridge, VA 22192 Phone: 800-799-1212 Fax: 703-492-7768 |
Abigail Elizabeth Salazar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14938 Fruit Tree Ct, Woodbridge, VA 22193 Phone: 520-313-6440 |
Labrae' Shauntell Hazelwood, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1434 Deerfield Ln, Woodbridge, VA 22191 Phone: 804-496-0864 |