Provider Demographics
NPI:1881826725
Name:WILLIAMS, DAWN MARIE (LPC-MH)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 SWEET OLIVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2825
Mailing Address - Country:US
Mailing Address - Phone:605-430-0962
Mailing Address - Fax:210-641-2940
Practice Address - Street 1:18834 STONE OAK PKWY STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4177
Practice Address - Country:US
Practice Address - Phone:605-430-0962
Practice Address - Fax:210-641-2940
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH 2184101YM0800X
TX71001101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health