Williams, Paul A

Williams, Paul A is an individual health care provider with primary practice located at 2210 Jackson St , Anderson IN 46016-4363. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Williams, Paul A can be contacted via phone (765) 683-3118.

Contact Information

Primary practice address
2210 Jackson St Anderson IN 46016-4363
Phone: (765) 683-3118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000373 Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000811 Indiana

Profile Details

NPI number 1619908019
LBN Legal business name Williams, Paul A
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 6th, 2018 - 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 1619908019 NPPES
Indiana MEDICAID 100080200
Indiana Other 000000245990

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