Provider Demographics
NPI:1811017239
Name:WILLIAMS, TRISSA CAMILLE (LMSW)
Entity Type:Individual
Prefix:
First Name:TRISSA
Middle Name:CAMILLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 COMANCHE CIR
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5438
Mailing Address - Country:US
Mailing Address - Phone:512-426-5887
Mailing Address - Fax:
Practice Address - Street 1:121 COMANCHE CIR
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5438
Practice Address - Country:US
Practice Address - Phone:512-426-5887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39790104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker