Provider Demographics
NPI:1578176368
Name:WILLIAMSON, OLYSHA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:OLYSHA
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 PROGRESS CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3533
Mailing Address - Country:US
Mailing Address - Phone:704-906-8879
Mailing Address - Fax:
Practice Address - Street 1:22720 MORTON RANCH RD
Practice Address - Street 2:SUITE 160 UNIT 201
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:704-906-8879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX634501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical