NPIMap

Organization Active NPI

Phyllis Williams, LMFT, PC

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1841741485
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT001192 Issued in GA
Legal business name
PHYLLIS WILLIAMS, LMFT, PC
Practice address
209 Swanton Way Ste a
102
Decatur, GA 30030-3274
Phone
(770) 710-7335
NPI assigned
Oct 19, 2016
Organization subpart
Yes
Parent organization
PHYLLIS WILLIAMS, LMFT, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Phyllis D Williams, MANPI 1891981320
Title
Owner/President
Phone
(770) 710-7335

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MFT001192 GA Primary

Addresses

Primary practice location

209 Swanton Way Ste a
102
Decatur, GA 30030-3274

Mailing address

2107 N Decatur Rd
205
Decatur, GA 30033-5305
Phone (770) 710-7335

National Provider Directory

National Provider Directory
Tax ID family
Phyllis Williams LMFT PC2 organizations share this tax ID, including this one
Part of
Phyllis Williams LMFT PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1841741485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N DECATUR RD",
            "address_2": "205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335305",
            "telephone_number": "770-710-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SWANTON WAY STE A",
            "address_2": "102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303274",
            "telephone_number": "770-710-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS WILLIAMS, LMFT, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYLLIS WILLIAMS, LMFT, PC",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-710-7335",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MFT001192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.