MEDICARE: VICTORIA SHAUWANN WILLIAMS LPC-S

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	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor	LH61547347	WA
4	101YP2500X	Professional Counselor	8610	LA
5	101YP2500X	Professional Counselor	1710	MS
6	101YP2500X	Professional Counselor	84029	TX

General Provider Information

NPI Number	:	1730525718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA SHAUWANN WILLIAMS LPC-S

Provider Business Mailing Address
First Line	:	6767 BENNINGTON ST APT 512
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77028-4274
Country	:	US
Telephone Number	:	281-840-1814
Fax Number	:

Provider Business Practice Location Address
First Line	:	6767 BENNINGTON ST APT 512
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77028-4274
Country	:	US
Telephone Number	:	281-840-1814
Fax Number	:

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

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	08/26/2025

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