Individual
PHILLIP GEORGE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
271B CULVER ST, LAWRENCEVILLE, GA 30046-4855
(678) 883-8609
(678) 559-0409
Mailing address
271B CULVER ST, LAWRENCEVILLE, GA 30046-4855
(678) 883-8609
(678) 559-0409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
EINS
GA
Enumeration date
10/24/2020
Last updated
10/24/2020
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