Provider Demographics
NPI:1952141020
Name:BORDEN, WILLIAM (LMSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:BORDEN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:BILLY
Other - Middle Name:
Other - Last Name:BORDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:500 S TAYLOR ST STE 600
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-2458
Mailing Address - Country:US
Mailing Address - Phone:806-316-5595
Mailing Address - Fax:
Practice Address - Street 1:500 S TAYLOR ST STE 600
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-2458
Practice Address - Country:US
Practice Address - Phone:806-316-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108223104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker