Provider Demographics
NPI:1275640807
Name:JAMES E, WILLIAMS
Entity Type:Organization
Organization Name:JAMES E, WILLIAMS
Other - Org Name:METROPOLITAN CENTER FOR COUNSELING &PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-496-1961
Mailing Address - Street 1:6800 BRENTWOOD STAIR RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-3349
Mailing Address - Country:US
Mailing Address - Phone:817-496-1961
Mailing Address - Fax:817-451-0155
Practice Address - Street 1:6800 BRENTWOOD STAIR RD
Practice Address - Street 2:SUITE 104
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-3349
Practice Address - Country:US
Practice Address - Phone:817-496-1961
Practice Address - Fax:817-451-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12829101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080231601Medicaid