Kim Latrelle Williams, B.S, M.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

600 Commercial CT Ste Avenue
Savannah, GA 31406-3674

Phone

(912) 352-4357

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kim Latrelle Williams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Science

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1265168629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 OLD RICHMOND RD APT 522",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314079296",
            "telephone_number": "205-401-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMERCIAL CT STE AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063674",
            "telephone_number": "912-352-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIM",
        "middle_name": "LATRELLE",
        "name_prefix": "Miss",
        "credential": "B.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WILLIAMS",
            "middle_name": "LATRELLE",
            "prefix": "MS.",
            "credential": "MARSHALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Williams, DO
• Judson Williams, PT
• Julianna Williams, PHD, LPC, NCC, CPCS,
• Karen Williams
• Katelyn Williams
• Kristen Gayle Williams, MD
• Lakeena Keshawn Williams
• Lauren Williams, NP
• Mallory Williams, PA
• Manyah Williams

• Addiction (Substance Use Disorder) Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.