Individual
MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
1614 N LEBANON ST STE 2, LEBANON, IN 46052-1514
(765) 680-0071
(765) 680-0468
Mailing address
5390 CARROLLTON AVE, INDIANAPOLIS, IN 46220-3119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002238A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201192980A
—
IN
Enumeration date
07/23/2008
Last updated
10/29/2013
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