Provider Demographics
NPI:1164000188
Name:WILLIAMS, ALEXANDRIA (LPC)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 LEONARD ST UNIT 402
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-6000
Mailing Address - Country:US
Mailing Address - Phone:913-219-6411
Mailing Address - Fax:
Practice Address - Street 1:1006 S MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-7609
Practice Address - Country:US
Practice Address - Phone:860-385-1472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health