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NPI Code Detail

MEDICARE: JUANITA MARIE WILLIAMS LPC

MEDICARE: JUANITA MARIE WILLIAMS 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
1101YA0400XAddiction (Substance Use Disorder) Counselor63066TX
2101YM0800XMental Health Counselor86316TX

General Provider Information

NPI Number : 1427881507
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITA MARIE WILLIAMS LPC
Provider Business Mailing Address
First Line : 1013 MUSCOGEE TRL
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-1129
Country : US
Telephone Number : 469-995-4550
Fax Number :
Provider Business Practice Location Address
First Line : 4221 MEDICAL PKWY STE 400
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4548
Country : US
Telephone Number : 469-892-0162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2024
Last Update Date : 04/07/2026

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