Organization · NPI-2

Kelly Williams Lmhc LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Norwood, MA

NPI number1609306265
StatusActive
Last updated in NPPESJun 15, 2017

Details

NPI
1609306265
Entity type
Organization (NPI-2)
Legal business name
Kelly Williams Lmhc LLC
Organization subpart
No
Enumeration date
Jun 15, 2017
Last updated
Jun 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

89 Access Rd Ste A2
Norwood, MA 02062-5229

Phone 781-366-0122

Mailing address

78 Greensboro Rd
Dedham, MA 02026-5220

Authorized official

Kelly Williams
Authorized Official
7813660122

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