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NPI Code Detail

MEDICARE: MS. CAROL LASHAWN WILLIAMS LCDC

MEDICARE: MS. CAROL LASHAWN WILLIAMS LCDC
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) Counselor16315TX

General Provider Information

NPI Number : 1720550551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL LASHAWN WILLIAMS LCDC
Provider Business Mailing Address
First Line : 2043 LAKE TRAIL DR
Second Line :
City : HEARTLAND
State : TX
Zip : 75126-8275
Country : US
Telephone Number : 214-289-6136
Fax Number :
Provider Business Practice Location Address
First Line : 9708 SKILLMAN ST
Second Line :
City : DALLAS
State : TX
Zip : 75243-5150
Country : US
Telephone Number : 214-221-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/08/2025

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