Provider Demographics
NPI:1275657603
Name:WILLIAMSON, LINDA S (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:S
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MS, LPC
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 409
Mailing Address - Street 2:
Mailing Address - City:CUMBY
Mailing Address - State:TX
Mailing Address - Zip Code:75433-0409
Mailing Address - Country:US
Mailing Address - Phone:903-994-4129
Mailing Address - Fax:903-004-2611
Practice Address - Street 1:1610 POSEY LN
Practice Address - Street 2:SUITE 204
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4954
Practice Address - Country:US
Practice Address - Phone:903-885-9583
Practice Address - Fax:903-885-9583
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17639101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional