Provider Demographics
NPI:1053529800
Name:WILLIAMS, EMMALINE TERRY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EMMALINE
Middle Name:TERRY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:TERRY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13934 BRITOAK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3327
Mailing Address - Country:US
Mailing Address - Phone:281-496-1935
Mailing Address - Fax:
Practice Address - Street 1:13934 BRITOAK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3327
Practice Address - Country:US
Practice Address - Phone:281-496-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health