Provider Demographics
NPI:1619853223
Name:GUILLIAMS, ADREA (LPC)
Entity type:Individual
Prefix:
First Name:ADREA
Middle Name:
Last Name:GUILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CALDWELL ST
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-1058
Mailing Address - Country:US
Mailing Address - Phone:315-945-3367
Mailing Address - Fax:
Practice Address - Street 1:253 MADISON AVE STE A
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-1292
Practice Address - Country:US
Practice Address - Phone:315-945-3367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC019108101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health