Elizabeth Conway Williams, L.P.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5054 Issued in NC

Practice address

600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305

Phone

(865) 201-1767

NPI assigned

Nov 9, 2011

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

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.

• Trailblaze Psychological Services

  • Clinical Psychologist
  • Hendersonville, NC
  • NPI 1376320721
  NPD Authorized official

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1255618963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 JOREE LN",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124243",
            "telephone_number": "865-201-1767",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HANKS CTR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922305",
            "telephone_number": "865-201-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124189",
            "country_code": "US",
            "telephone_number": "828-693-3296 x1112",
            "fax_number": "828-696-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELIZABETH",
        "middle_name": "CONWAY",
        "name_prefix": "Dr.",
        "credential": "L.P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5054",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liane Kelly Wilderman
• Kathryn L Wilkie, CRNA
• Suzanne Simpson Wilkins, FNP-BC
• Donald Edward Wilkinson Jr., PA-C
• Amber R Williams, PA-C, LAT, A TC
• Kayla Andrie Williams, FNP-C
• Leah Campbell Williams, PHARM.D.
• Martha G Williams, LCMHC
• Bobbie Williamson, PHARMD, CPP
• Sally A Williamson, LPC

• Clinical Psychologist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.