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NPI 1720550551

NPI 1720550551 : CAROL LASHAWN WILLIAMS LCDC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1720550551
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL LASHAWN WILLIAMS LCDC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2018
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    9708 SKILLMAN ST 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-5150
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    Country              |    US
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    Telephone            |    214-221-5433
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2043 LAKE TRAIL DR 
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    City                 |    HEARTLAND
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    State                |    TX
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    Zip                  |    75126-8275
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    Country              |    US
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    Telephone            |    214-289-6136
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    16315
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    License Number State |    TX
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