Provider Demographics
NPI:1710463831
Name:WILLIAMS, TIMILIA T (LPC)
Entity Type:Individual
Prefix:
First Name:TIMILIA
Middle Name:T
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 1:417 BUTTERFLY LN # TX
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-4207
Mailing Address - Country:US
Mailing Address - Phone:214-681-0030
Mailing Address - Fax:
Practice Address - Street 1:417 BUTTERFLY LN # TX
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-4207
Practice Address - Country:US
Practice Address - Phone:214-681-0030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health