Williams, Nicole S.

Williams, Nicole S. is an sole proprietor health care provider with primary practice located at 210 S Main St , Middletown CT 06457-3764. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Williams, Nicole S. can be contacted via phone (203) 806-0820.

Contact Information

Primary practice address
210 S Main St Middletown CT 06457-3764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2913 Connecticut

Profile Details

NPI number 1306182027
LBN Legal business name Williams, Nicole S.
Credentials LPC, MA,BA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2012
Last updated Dec 30th, 2021 - about 3 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 1306182027 NPPES
Connecticut Other 13759277 CAQH

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