Provider Demographics
NPI:1013559293
Name:WILLIAMS, ELIZABETH RENEE (LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:RENEE
Other - Last Name:LEFLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 MOUNT ELLEN ST
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5703
Mailing Address - Country:US
Mailing Address - Phone:512-769-5299
Mailing Address - Fax:
Practice Address - Street 1:6633 E HWY 290 STE 212
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-1111
Practice Address - Country:US
Practice Address - Phone:512-769-5299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73841101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health