MEDICARE: GENNIFFER SHAW WILLIAMS

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	72468	TX

General Provider Information

NPI Number	:	1588171524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENNIFFER SHAW WILLIAMS

Provider Business Mailing Address
First Line	:	9705 CYPRESS LAKE DR
Second Line	:
City	:	CROWLEY
State	:	TX
Zip	:	76036-1159
Country	:	US
Telephone Number	:	817-773-8007
Fax Number	:

Provider Business Practice Location Address
First Line	:	5751 PARK VISTA CIR STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-5607
Country	:	US
Telephone Number	:	817-812-2880
Fax Number	:

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

Provider Enumeration Date	:	12/29/2017
Last Update Date	:	12/29/2017

Similar Medicare Providers

1710343033 — LOGOS SERVICES, LLC
Practice Location Address:

5751 PARK VISTA CIR , SUITE 101
FORT WORTH, TX
76244-5607

Practice Phone: 817-812-2880
Practice Fax: 817-812-3096

1275993982 — DIANNA CLAYTON LPC
Practice Location Address:

5751 PARK VISTA CIR STE 101
FORT WORTH, TX
76244-5607

Practice Phone: 817-812-2880
Practice Fax:

1962611459 — MRS. GAY S KELSO LCSW
Practice Location Address:

5751 PARK VISTA CIRCLE , SUITE 101
KELLER, TX
76244-5607

Practice Phone: 817-812-2880
Practice Fax: 817-812-3096

1780437574 — PEREZ CARE LLC
Practice Location Address:

5607 CYNWYD CIR
LAKE WORTH, FL
33463-6615

Practice Phone: 561-389-0594
Practice Fax:

1376499970 — SHIRLEY BEAUPLAN
Practice Location Address:

2851 NW 10TH CT
FORT LAUDERDALE, FL
33311-5607

Practice Phone: 754-224-8188
Practice Fax:

1093115479 — TAO CHEN
Practice Location Address:

5607 FORT HAMILTON PKWY FL 3
BROOKLYN, NY
11219-4416

Practice Phone: 347-603-2864
Practice Fax:

Directions to “ GENNIFFER SHAW WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.