| Tiffanie W. Williams. Lpc Llc | |
|
251 River Park North Dr Woodstock GA 30188-7835 | |
| (470) 531-8400 | |
| (470) 531-8484 |
| Full Name | Tiffanie W. Williams. Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 251 River Park North Dr, Woodstock, Georgia |
| Authorized Official Name and Position | Tiffanie Williams (CEO) |
| Authorized Official Contact | 4705318400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffanie W. Williams. Lpc Llc 12195 Hwy 92, Ste. 114 #341 Woodstock GA 30188 Ph: (470) 531-8400 | Tiffanie W. Williams. Lpc Llc 251 River Park North Dr Woodstock GA 30188-7835 Ph: (470) 531-8400 |
| NPI Number | 1043774615 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043774615 | NPI | - | NPPES |
| 003218462A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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