Gina Williams | Valparaiso, IN • PECOS Search

Gina Williams

Counselor

Behavioral Health & Social Service Providers

601 Wall St, Valparaiso, IN 46383-2512

PECOS Enrollment

Based on the most recent information from CMS, provider Gina Williams does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1396128401
Provider Type
Individual
Full Name
Williams, Gina
Credential
B.A

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/7/2015
Last Updated
7/7/2015

Contact Information

Practice Location

601 Wall St, Valparaiso, IN 46383-2512

Unlisted Fax

Mailing Location

601 Wall St, Valparaiso, IN 46383-2512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer