Williams, Lisa Marie

Williams, Lisa Marie is an sole proprietor health care provider with primary practice located at 111 Kilson Dr Ste 201 , Mooresville NC 28117-8218. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Williams, Lisa Marie can be contacted via phone (704) 664-1009.

Contact Information

Primary practice address
111 Kilson Dr Ste 201 Mooresville NC 28117-8218
Phone: (704) 664-1009
Fax: (704) 664-1029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006049 North Carolina

Profile Details

NPI number 1467604074
LBN Legal business name Williams, Lisa Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2008
Last updated Oct 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467604074 NPPES
North Carolina MEDICAID 6007158

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