Provider Demographics
NPI:1174197552
Name:WILLIAMS, ANNETTE Y (LPC, RPT)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:Y
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 MERCER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6526
Mailing Address - Country:US
Mailing Address - Phone:832-422-7125
Mailing Address - Fax:
Practice Address - Street 1:3418 MERCER ST STE 2013418
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6527
Practice Address - Country:US
Practice Address - Phone:832-422-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health