MEDICARE: DR. STARLITE WILLIAMS ED.D

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	66828	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386082170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STARLITE WILLIAMS ED.D

Provider Business Mailing Address
First Line	:	8559 SANDS POINT DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2773
Country	:	US
Telephone Number	:	713-576-9365
Fax Number	:	832-871-5401

Provider Business Practice Location Address
First Line	:	950 ECHO LN
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77024-2756
Country	:	US
Telephone Number	:	713-576-9365
Fax Number	:	832-871-5401

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

Provider Enumeration Date	:	06/13/2013
Last Update Date	:	04/27/2016

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