Organization
PHYLLIS WILLIAMS, LMFT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS DEVON WILLIAMS MA LMFT (PRESIDENT)
(770) 710-7335
Entity
Organization
Contact information
Practice address
2308 PERIMETER PARK DR, 100, ATLANTA, GA 30341-1316
(770) 457-5577
Mailing address
2107 N DECATUR RD, 205, DECATUR, GA 30033-5305
(770) 710-7335
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001192
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891981320
—
CA
Enumeration date
08/18/2016
Last updated
08/18/2016
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