Christina Izabele Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22069 Issued in FL

Practice address

907 Mar Walt Dr Ste 2022
Fort Walton Beach, FL 32547-6631

Phone

(850) 243-0095

Fax

(850) 374-3192

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Izabel Christiina Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CW Holistic Counseling LLC

  • Mental Health Counselor
  • Fort Walton Beach, FL
  • NPI 1851256051
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1033815410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BEACH CLUB DR UNIT 705",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508504",
            "telephone_number": "850-502-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476631",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTINA",
        "middle_name": "IZABELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "IMH20720",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IZABEL",
            "last_name": "WILLIAMS",
            "middle_name": "CHRISTIINA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danieal Lafayette Wilkinson, APRN
• Lilli Katherine Wilkinson
• Sibyl Willauer
• William R Marshall MD PA
• Anna Williams
• Christina Virginia Williams, PHARMD
• Cypreana Williams, LCSW
• Denise D Williams, LMT
• Heather Michelle Williams, MA 90824
• Kayla Williams, RBT

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.