Provider Demographics
NPI:1538584487
Name:WILLIAMS, FELICIA INEZ (MA,LCPC)
Entity type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:INEZ
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA,LCPC
Other - Prefix:MISS
Other - First Name:FELICIA
Other - Middle Name:INEZ
Other - Last Name:DOBIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1820 RIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1760
Mailing Address - Country:US
Mailing Address - Phone:708-363-8075
Mailing Address - Fax:708-363-8075
Practice Address - Street 1:1820 RIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-1760
Practice Address - Country:US
Practice Address - Phone:708-363-8075
Practice Address - Fax:708-363-8075
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-02
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional