MEDICARE: MS. SHAWN L HYSTEN-WILLIAMS M.A., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	61498	TX

General Provider Information

NPI Number	:	1336324318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAWN L HYSTEN-WILLIAMS M.A., LPC

Provider Business Mailing Address
First Line	:	12401 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-2007
Country	:	US
Telephone Number	:	713-723-0616
Fax Number	:	713-723-6143

Provider Business Practice Location Address
First Line	:	5122 GALLAGHER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-6012
Country	:	US
Telephone Number	:	713-723-0616
Fax Number	:	713-723-6143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	01/08/2008

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