MEDICARE: ARIENNE ROSE WILLIAMS L.P.C.

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	5581	LA
2	101YP2500X	Professional Counselor	77433	TX

General Provider Information

NPI Number	:	1265816276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIENNE ROSE WILLIAMS L.P.C.

Provider Business Mailing Address
First Line	:	15603 KUYKENDAHL RD STE 321
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3654
Country	:	US
Telephone Number	:	888-988-6329
Fax Number	:	936-417-8015

Provider Business Practice Location Address
First Line	:	15603 KUYKENDAHL RD STE 321
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3654
Country	:	US
Telephone Number	:	888-988-6329
Fax Number	:	936-417-8015

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

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	03/28/2024

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