| NPI | 1821567090 |
|---|---|
| Former Legal Business Name | TRACY L WILLIAMS, LPC-S |
| Entity Type | Organization |
| Authorized Contact | KATHARINE M ALFORD Credentialing Specialist 409-201-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |