Provider Demographics
NPI:1285623678
Name:SMALE WILLIAMS, PAMELA ANN (MA, LPC, LMFT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANN
Last Name:SMALE WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:SMALE WIILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:3729 MARLBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6133
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3729 MARLBOROUGH CT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6133
Practice Address - Country:US
Practice Address - Phone:972-596-1338
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8663101YP2500X
TX001457106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist