Phyllis Lisa Williams

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015295 Issued in GA

Practice address

2470 Windy Hill Rd SE Ste 416
Marietta, GA 30067-8625

Phone

(347) 395-2185

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1306345251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 416",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678625",
            "telephone_number": "347-395-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 416",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678625",
            "telephone_number": "347-395-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PHYLLIS",
        "middle_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "015295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Williams, CAA
• Olive Williams, NP
• Olumide A Williams
• Patricia Marie Williams, DPT
• Pelham L. Williams IV, M.D.
• Roger S.H. Williams, DO
• Sharon Williams
• Sharon R. Williams, EMT-P
• Stephanie Williams
• Tara Lyn Williams, PH.D.

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.