Provider Demographics
NPI:1467131078
Name:WILLIAMS, KALYN WARREN (LMFT ASSOCIATE)
Entity Type:Individual
Prefix:MRS
First Name:KALYN
Middle Name:WARREN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFT ASSOCIATE
Other - Prefix:
Other - First Name:KALYN
Other - Middle Name:ELIZABETH
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1076 DEER FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PIPE CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78063-5317
Mailing Address - Country:US
Mailing Address - Phone:334-329-9552
Mailing Address - Fax:
Practice Address - Street 1:230 MESA VERDE DR E
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:TX
Practice Address - Zip Code:78010-3548
Practice Address - Country:US
Practice Address - Phone:830-430-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204847106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist