Provider Demographics
NPI:1336324318
Name:HYSTEN-WILLIAMS, SHAWN L (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SHAWN
Middle Name:L
Last Name:HYSTEN-WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12401 S POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-2007
Mailing Address - Country:US
Mailing Address - Phone:713-723-0616
Mailing Address - Fax:713-723-6143
Practice Address - Street 1:5122 GALLAGHER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6012
Practice Address - Country:US
Practice Address - Phone:713-723-0616
Practice Address - Fax:713-723-6143
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional