Provider Demographics
NPI:1295215820
Name:WILLIAMS, SHADONNA M (LCSW, LCDC-I)
Entity type:Individual
Prefix:
First Name:SHADONNA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11679 SABO RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2536
Mailing Address - Country:US
Mailing Address - Phone:713-838-6070
Mailing Address - Fax:
Practice Address - Street 1:1420 FM 1960 BYPASS RD E STE 116
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3934
Practice Address - Country:US
Practice Address - Phone:713-457-4372
Practice Address - Fax:713-457-0945
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX598061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty