Provider Demographics
NPI:1316537210
Name:WILLIAMS, JONEICIA LAURELL
Entity type:Individual
Prefix:
First Name:JONEICIA
Middle Name:LAURELL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CHARLESTOWNE WAY APT B
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3081
Mailing Address - Country:US
Mailing Address - Phone:864-940-3333
Mailing Address - Fax:864-940-3333
Practice Address - Street 1:109 CHARLESTOWNE WAY APT B
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3081
Practice Address - Country:US
Practice Address - Phone:864-940-3333
Practice Address - Fax:864-940-3333
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional