MEDICARE: FOLASHADE WILLIAMS LMFT-A

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	106H00000X	Marriage & Family Therapist	203796	TX

General Provider Information

NPI Number	:	1669180402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FOLASHADE WILLIAMS LMFT-A

Provider Business Mailing Address
First Line	:	9601 VALLEY RANCH PKWY E APT 2071
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7835
Country	:	US
Telephone Number	:	214-830-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 INTERNATIONAL PKWY STE 260
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-5303
Country	:	US
Telephone Number	:	972-221-7900
Fax Number	:

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

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	12/12/2025

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