Carlisa K Williams, Ma,LPC,LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CARLISA K WILLIAMS, MA,LPC,LLC

Practice address

2818 Treyburn LN
West Bloomfield, MI 48324-4106

Phone

(248) 302-8111

Fax

(248) 242-6749

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Carlisa K Williams, LPCNPI 1447504618

Title

Owner/Therapist

Phone

(248) 302-8111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlisa Klugh Williams, LPC

  • Counselor
  • West Bloomfield, MI
  • NPI 1447504618
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1174292809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 TREYBURN LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244106",
            "telephone_number": "248-302-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 TREYBURN LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244106",
            "telephone_number": "248-302-8111",
            "fax_number": "248-242-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISA K WILLIAMS, MA,LPC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-302-8111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.