MEDICARE: HAZIEL 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
1	101Y00000X	Counselor	85547	TX
2	101YM0800X	Mental Health Counselor	85547	TX
3	102L00000X	Psychoanalyst	85547	TX

General Provider Information

NPI Number	:	1740984020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZIEL WILLIAMS LPC

Provider Business Mailing Address
First Line	:	19926 PARK HOLW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1924
Country	:	US
Telephone Number	:	210-854-5380
Fax Number	:

Provider Business Practice Location Address
First Line	:	14350 NORTHBROOK DR STE 130
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5011
Country	:	US
Telephone Number	:	210-854-5380
Fax Number	:

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

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	02/04/2026

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Directions to “ HAZIEL WILLIAMS LPC” Practice Location

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