Provider Demographics
NPI:1194298877
Name:WILLIAMS, MICHELLE DENISE (LPC)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:DENISE
Last Name:WILLIAMS
Suffix:
Gender:
Credentials: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 447
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-0447
Mailing Address - Country:US
Mailing Address - Phone:469-778-0022
Mailing Address - Fax:833-945-1991
Practice Address - Street 1:1207 WESTRIDGE AVE APT 102
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1457
Practice Address - Country:US
Practice Address - Phone:469-778-0022
Practice Address - Fax:833-945-1991
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-06
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9551101YP2500X
TX101YA0400X
101YM0800X, 106H00000X
VA0701012411101YP2500X
SC9009101YP2500X
TX77331101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist