Provider Demographics
NPI:1053695064
Name:WILLIAMS, ROBYN M (MS, LPC CANDIDATE)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CIRCLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018
Mailing Address - Country:US
Mailing Address - Phone:405-416-0933
Mailing Address - Fax:
Practice Address - Street 1:210 S 4TH ST
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-3460
Practice Address - Country:US
Practice Address - Phone:405-763-7117
Practice Address - Fax:405-448-5050
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor