Provider Demographics
NPI:1821698820
Name:WILLIAMS, CHASITY SHAUDAE (BSW)
Entity Type:Individual
Prefix:
First Name:CHASITY
Middle Name:SHAUDAE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23910 IH 10 W APT 8109
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1415
Mailing Address - Country:US
Mailing Address - Phone:325-864-5033
Mailing Address - Fax:
Practice Address - Street 1:4241 E PIEDRAS DR STE 171
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1409
Practice Address - Country:US
Practice Address - Phone:210-988-2009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health