Provider Demographics
NPI:1376900233
Name:WILLIAMS, YOLANDA GEAN (LMT, MMP)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:GEAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:MS
Other - First Name:YOLANDA
Other - Middle Name:GEAN
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5529 LOUETTA RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:281-893-0060
Mailing Address - Fax:888-757-1920
Practice Address - Street 1:5529 LOUETTA RD
Practice Address - Street 2:SUITE A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:281-893-0060
Practice Address - Fax:888-757-1920
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-24
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102038225700000X
TXLMT102038225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist