Provider Demographics
NPI:1982143905
Name:WILLIAMS, LINDA (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 HEIDI LN
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79108-1815
Mailing Address - Country:US
Mailing Address - Phone:806-231-6180
Mailing Address - Fax:806-318-3046
Practice Address - Street 1:2417 HOBBS RD STE 105
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1533
Practice Address - Country:US
Practice Address - Phone:806-231-6180
Practice Address - Fax:806-318-3046
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10937101YA0400X
TX681481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)