Williams, Jennifer L

Williams, Jennifer L is an sole proprietor health care provider with primary practice located at 69 Robert Smalls Pkwy Ste 2B , Beaufort SC 29906. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Williams, Jennifer L can be contacted via phone (843) 473-9216.

Contact Information

Primary practice address
69 Robert Smalls Pkwy Ste 2B Beaufort SC 29906
Phone: (843) 473-9216
Fax: (888) 333-7909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001286 Georgia

Profile Details

NPI number 1104157569
LBN Legal business name Williams, Jennifer L
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2010
Last updated Jun 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104157569 NPPES
Georgia MEDICAID 003149931A
Georgia MEDICAID LT1076

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