Healthcare Provider Details

I. General information

NPI: 1700666260
Provider Name (Legal Business Name): WENDI J. WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17014 GLENEAGLE DR S
CONROE TX
77385-4614
US

IV. Provider business mailing address

17014 GLENEAGLE DR S
CONROE TX
77385-4614
US

V. Phone/Fax

Practice location:
  • Phone: 281-907-3529
  • Fax:
Mailing address:
  • Phone: 281-907-3529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number87870
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: