Provider Demographics
NPI:1033220579
Name:WILLIAMS, HARRY DON (LMSW, LCDC)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:DON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LMSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13834 DOUBLOON ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6918
Mailing Address - Country:US
Mailing Address - Phone:361-949-9027
Mailing Address - Fax:
Practice Address - Street 1:4455 S PADRE ISLAND DR # 44B
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5101
Practice Address - Country:US
Practice Address - Phone:361-808-7901
Practice Address - Fax:361-808-7904
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX040381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX596749Medicare UPIN
TX82755WMedicare ID - Type Unspecified