Provider Demographics
NPI:1932086410
Name:WILLIAMS, JE'KIAH
Entity type:Individual
Prefix:
First Name:JE'KIAH
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1804
Mailing Address - Country:US
Mailing Address - Phone:229-299-7923
Mailing Address - Fax:
Practice Address - Street 1:825 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1804
Practice Address - Country:US
Practice Address - Phone:229-299-7923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health