Provider Demographics
NPI:1609519941
Name:WILLIAMS, EMILY S (LPCA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 W BANDERA RD STE 5-400
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2903
Mailing Address - Country:US
Mailing Address - Phone:210-332-2671
Mailing Address - Fax:
Practice Address - Street 1:128 W BANDERA RD STE 5-400
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2903
Practice Address - Country:US
Practice Address - Phone:210-332-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86649101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional