Williams, Willie Bernard

Williams, Willie Bernard is an sole proprietor health care provider with primary practice located at 1733 Briarcrest Dr Ste 205 , Bryan TX 77802-2755. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Williams, Willie Bernard can be contacted via phone (817) 554-3706.

Contact Information

Primary practice address
1733 Briarcrest Dr Ste 205 Bryan TX 77802-2755
Fax: (817) 554-3704
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 65694 Texas

Profile Details

NPI number 1134402068
LBN Legal business name Williams, Willie Bernard
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2011
Last updated Nov 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134402068 NPPES
Texas MEDICAID 2880254

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