Provider Demographics
NPI:1861253866
Name:WILLIAMS, JANECIA (LAPC)
Entity type:Individual
Prefix:
First Name:JANECIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 CHARLESTON POINTE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-3028
Mailing Address - Country:US
Mailing Address - Phone:404-291-4454
Mailing Address - Fax:
Practice Address - Street 1:2370 CHARLESTON POINTE SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-3028
Practice Address - Country:US
Practice Address - Phone:404-291-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health