Provider Demographics
NPI:1760157721
Name:MCWILLIAMS, RAE (LCDC-I)
Entity Type:Individual
Prefix:
First Name:RAE
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40953
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77240-0953
Mailing Address - Country:US
Mailing Address - Phone:346-702-0072
Mailing Address - Fax:
Practice Address - Street 1:20718 TOWNE VUE CT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2770
Practice Address - Country:US
Practice Address - Phone:832-997-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health