Meatria Williams-Tyson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC10084 Issued in GA

Practice address

3399 Peachtree Rd NE Ste 400
Atlanta, GA 30326-2825

Phone

(410) 534-2141

Fax

(888) 449-6523

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Meatria Williams-Tyson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1083181564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 PEACHTREE RD NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262825",
            "telephone_number": "410-534-2141",
            "fax_number": "888-449-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 PEACHTREE RD NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262825",
            "telephone_number": "410-534-2141",
            "fax_number": "888-449-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-TYSON",
        "first_name": "MEATRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC10084",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC10084",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC10084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254139400",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEATRIA",
            "last_name": "WILLIAMS-TYSON",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Williams Physical Therapy, Inc
• Heidi Frequan Williams-Cooper
• Malcolm Williams-Green
• Frances Anedra Williams-McIver, REGISTERED NURSE
• Georgia Williams-Rogers
• Adrienne N Williams, LMSW, MSW, M.ED.
• Aimee D. Williams, MHS, LPC, CRC
• Aja C Williams
• Alana M Williams, MD
• Alcia Annemarie Williams, M.D.

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.