Healthcare Provider Details

I. General information

NPI: 1548178395
Provider Name (Legal Business Name): WILLIAMS & BULTER CONSULTING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4965 PRESTON PARK BLVD, EAST TOWER SUITE 700
PLANO TX
75093
US

IV. Provider business mailing address

1013 MUSCOGEE TRL
CARROLLTON TX
75010-1129
US

V. Phone/Fax

Practice location:
  • Phone: 469-892-0162
  • Fax: 844-550-4821
Mailing address:
  • Phone: 469-995-4550
  • Fax: 844-550-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JUANITA MARIE WILLIAMS
Title or Position: BEHAVIORAL HEALTH AND ADDICTIONS
Credential: LPC, LCDC, NCC, MA
Phone: 469-892-0162