Provider Demographics
NPI:1144546177
Name:MCWILLIAMS CENTER FOR COUNSELING, INC.
Entity type:Organization
Organization Name:MCWILLIAMS CENTER FOR COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JANEEN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D, LPC
Authorized Official - Phone:704-868-7001
Mailing Address - Street 1:2231-D EXECUTIVE ST.
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-3658
Mailing Address - Country:US
Mailing Address - Phone:704-971-4432
Mailing Address - Fax:704-392-6747
Practice Address - Street 1:2231-D EXECUTIVE ST.
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-3658
Practice Address - Country:US
Practice Address - Phone:704-971-4432
Practice Address - Fax:704-392-6747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302359HMedicaid
NC8302359BMedicaid
NC8302359Medicaid