Provider Demographics
NPI:1386690089
Name:WILLIAMS, NANCY JEAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JEAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1521 GREEN OAK PL
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2057
Mailing Address - Country:US
Mailing Address - Phone:281-358-6654
Mailing Address - Fax:281-359-2410
Practice Address - Street 1:1521 GREEN OAK PL
Practice Address - Street 2:SUITE 120
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77339-2057
Practice Address - Country:US
Practice Address - Phone:281-358-6654
Practice Address - Fax:281-359-2410
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional