Provider Demographics
NPI:1497251870
Name:WILLIAMS, DENA RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:RENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43499 BOB CROUCH RD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-7136
Mailing Address - Country:US
Mailing Address - Phone:214-546-7178
Mailing Address - Fax:
Practice Address - Street 1:3535 VICTORY GROUP WAY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6719
Practice Address - Country:US
Practice Address - Phone:469-287-5502
Practice Address - Fax:972-294-5139
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75523101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional