Organization Active NPI

Ford Williams Family Therapy, LLC

  • Marriage & Family Therapist
  • Mount Holly, NC
National Provider Identifier
1336717289
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FORD WILLIAMS FAMILY THERAPY, LLC
Practice address
114 Clauser Rd N
Mount Holly, NC 28120-2479
Phone
(203) 614-9226
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Lyle WilliamsNPI 1558877191
Title
Manager
Phone
(203) 893-3860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

114 Clauser Rd N
Mount Holly, NC 28120-2479

Mailing address

114 Clauser Rd N
Mount Holly, NC 28120-2479

Other names 1

  • Ford Williams Family Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Info@FordWilliamsFamilyTherapy.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1336717289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CLAUSER RD N",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CLAUSER RD N",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202479",
            "telephone_number": "203-614-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD WILLIAMS FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-893-3860"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@FordWilliamsFamilyTherapy.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "address_1": "114 Clauser Rd N",
            "city": "Mount Holly",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281202479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ford Williams Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Holly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.