| Williams Wellness, Llc | |
|
103 Chase St Ste B Florence SC 29501-3489 | |
| (843) 865-2711 | |
| Not Available |
| Full Name | Williams Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 103 Chase St Ste B, Florence, South Carolina |
| Authorized Official Name and Position | Misty Williams (OWNER, LPC) |
| Authorized Official Contact | 8438618435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Wellness, Llc 103 Chase St Ste B Florence SC 29501-3489 Ph: (843) 865-2711 | Williams Wellness, Llc 103 Chase St Ste B Florence SC 29501-3489 Ph: (843) 865-2711 |
| NPI Number | 1386308997 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Medicare PECOS PAC ID | 8123462280 |
|---|---|
| Medicare Enrollment ID | O20240216000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386308997 | NPI | - | NPPES |
| PC1864 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Misty Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487130266 PECOS PAC ID: 9032553193 Enrollment ID: I20240216000160 |
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