Provider Demographics
NPI:1336390079
Name:WILLIAMS, ALESHA LIZZETTE (LPC)
Entity Type:Individual
Prefix:
First Name:ALESHA
Middle Name:LIZZETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALESHA
Other - Middle Name:LIZZETTE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COUNSELOR
Mailing Address - Street 1:16633 DALLAS PARKWAY SUITE 600
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001
Mailing Address - Country:US
Mailing Address - Phone:318-230-5607
Mailing Address - Fax:972-395-2501
Practice Address - Street 1:16633 DALLAS PARKWAY SUITE 600
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:972-395-2501
Practice Address - Fax:972-395-2501
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
TX66989101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health