Individual
MS. QUINCI WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN, CPSS, FSP
Contact information
Practice address
743 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4658
(417) 861-3965
Mailing address
743 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4658
(417) 861-3965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
22683
MO
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
174H00000X
Health Educator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MO
Enumeration date
04/25/2013
Last updated
10/02/2025
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