Provider Demographics
NPI:1013726108
Name:WILLIAMS, CRYSTAL ANAI (LPC-A)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:ANAI
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7924 WILLOWOOD LN APT 509
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-6622
Mailing Address - Country:US
Mailing Address - Phone:409-365-3790
Mailing Address - Fax:
Practice Address - Street 1:7924 WILLOWOOD LN APT 509
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-6622
Practice Address - Country:US
Practice Address - Phone:409-365-3790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94476101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty