Provider Demographics
NPI:1235808049
Name:WILLIAMS, CAREN R (PHD, MED, LPC)
Entity Type:Individual
Prefix:DR
First Name:CAREN
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD, MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 AUSTIN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-3381
Mailing Address - Country:US
Mailing Address - Phone:817-233-1137
Mailing Address - Fax:
Practice Address - Street 1:106 AUSTIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-3381
Practice Address - Country:US
Practice Address - Phone:817-233-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81643101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional