Provider Demographics
NPI:1386082170
Name:WILLIAMS, STARLITE (EDD)
Entity type:Individual
Prefix:DR
First Name:STARLITE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8559 SANDS POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2773
Mailing Address - Country:US
Mailing Address - Phone:713-576-9365
Mailing Address - Fax:832-871-5401
Practice Address - Street 1:950 ECHO LN
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2756
Practice Address - Country:US
Practice Address - Phone:713-576-9365
Practice Address - Fax:832-871-5401
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66828101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX320084201Medicaid