MEDICARE: VENECIA PLASHETTE WILLIAMS MA, LPC

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	101YP2500X	Professional Counselor	90525	TX

General Provider Information

NPI Number	:	1275246720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENECIA PLASHETTE WILLIAMS MA, LPC

Provider Business Mailing Address
First Line	:	113 HOLLOW TREE DR
Second Line	:
City	:	RED OAK
State	:	TX
Zip	:	75154-4744
Country	:	US
Telephone Number	:	972-892-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 HOLLOW TREE DR
Second Line	:
City	:	RED OAK
State	:	TX
Zip	:	75154-4744
Country	:	US
Telephone Number	:	469-285-1423
Fax Number	:

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

Provider Enumeration Date	:	12/29/2022
Last Update Date	:	01/06/2026

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