Provider Demographics
NPI:1073980702
Name:WILLIAMS, AARON M (LPC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:M
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:PO BOX 7218
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75711-7218
Mailing Address - Country:US
Mailing Address - Phone:903-534-4141
Mailing Address - Fax:903-534-9920
Practice Address - Street 1:14023 HWY 155 S
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-6635
Practice Address - Country:US
Practice Address - Phone:903-534-4141
Practice Address - Fax:903-534-9920
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71904101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional