| Melissa M Williams Licensed Counselor | |
|
1804 Heriford Rd Columbia MO 65202-1942 | |
| (573) 639-1094 | |
| (573) 639-1094 |
| Full Name | Melissa M Williams Licensed Counselor |
|---|---|
| Speciality | Counselor |
| Location | 1804 Heriford Rd, Columbia, Missouri |
| Authorized Official Name and Position | Melissa Michelle Williams (OWNER/COUNSELOR) |
| Authorized Official Contact | 5736391094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa M Williams Licensed Counselor 1804 Heriford Rd Columbia MO 65202 Ph: (573) 639-1094 | Melissa M Williams Licensed Counselor 1804 Heriford Rd Columbia MO 65202-1942 Ph: (573) 639-1094 |
| NPI Number | 1346671690 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/24/2024 |
| Certification Date | 12/24/2024 |
| Medicare PECOS PAC ID | 5294262440 |
|---|---|
| Medicare Enrollment ID | O20241230000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346671690 | NPI | - | NPPES |
| 1881951069 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2012011623 (Missouri) | Primary |
| Provider Name | Melissa Michelle Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881951069 PECOS PAC ID: 1557781663 Enrollment ID: I20241230000906 |
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