Williams, Richelle Marie

Williams, Richelle Marie is an individual health care provider with primary practice located at 7627 Lake St Ste 213 , River Forest IL 60305-1878. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Williams, Richelle Marie can be contacted via phone (708) 488-8000.

Contact Information

Primary practice address
7627 Lake St Ste 213 River Forest IL 60305-1878
Phone: (708) 488-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-003418 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166-000517 Illinois

Profile Details

NPI number 1588840615
LBN Legal business name Williams, Richelle Marie
Credentials LCPC, LMFT, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Jan 29th, 2009 - about 17 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 1588840615 NPPES
Illinois Other 01633354 BLUE CROSS BLUE SHIELD

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