Individual
MISS PHYLLIS DEVON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
209 SWANTON WAY STE A, 102, DECATUR, GA 30030-3274
(770) 710-7335
Mailing address
2107 N DECATUR RD, 205, DECATUR, GA 30033-5305
(770) 710-7335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFC40719
CA
101YM0800X
Mental Health Counselor
Primary
MFT001192
GA
101YM0800X
Mental Health Counselor
—
AL
106H00000X
Marriage & Family Therapist
L336
AL
106H00000X
Marriage & Family Therapist
MFC40719
CA
106H00000X
Marriage & Family Therapist
MFT001192
GA
Other
Enumeration date
09/18/2007
Last updated
10/19/2016
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