Provider Demographics
NPI:1902070949
Name:WILLIAMS, ERIN M (LIMP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LIMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10909 MILL VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3985
Mailing Address - Country:US
Mailing Address - Phone:402-697-3923
Mailing Address - Fax:402-493-3340
Practice Address - Street 1:10748 VIRGINIA PLZ STE 107
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3265
Practice Address - Country:US
Practice Address - Phone:402-933-4411
Practice Address - Fax:888-507-5931
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3462101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025332900Medicaid
NE47082303526Medicaid
NE098905Medicare PIN