Provider Demographics
NPI:1861518599
Name:WILLIAMS, RHEA GORDON (PHD)
Entity type:Individual
Prefix:MS
First Name:RHEA
Middle Name:GORDON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:RHEA
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1439 MCLENDON DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-1851
Mailing Address - Country:US
Mailing Address - Phone:404-378-9444
Mailing Address - Fax:404-378-9499
Practice Address - Street 1:1439 MCLENDON DR
Practice Address - Street 2:SUITE C
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-1851
Practice Address - Country:US
Practice Address - Phone:404-378-9444
Practice Address - Fax:404-378-9499
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1448103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical