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
Phone: (817) 554-3706
Fax: (817) 554-3704
Website:
Health care specialties
| Specialty | Code | License # | 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 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134402068 | NPPES |
| Texas | MEDICAID | 2880254 |
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