Provider Demographics
NPI:1326185034
Name:WILLIAMSON, NEVA LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:NEVA
Middle Name:LOUISE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:
Mailing Address - City:DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02638-0933
Mailing Address - Country:US
Mailing Address - Phone:508-619-7952
Mailing Address - Fax:508-619-7359
Practice Address - Street 1:744 MAIN ST
Practice Address - Street 2:
Practice Address - City:DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02638-1942
Practice Address - Country:US
Practice Address - Phone:508-619-7952
Practice Address - Fax:508-619-7359
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
600639951OtherMAGELLAN
NH14Y011391NH02OtherANTHEM
NH30425296Medicaid
NH2330406OtherCIGNA BEHAVIORAL HEALTH