Provider Demographics
NPI:1144505645
Name:WILLIAMS, SKYLOR RAMON (MS, LPC-I)
Entity type:Individual
Prefix:MR
First Name:SKYLOR
Middle Name:RAMON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MS, LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-0002
Mailing Address - Country:US
Mailing Address - Phone:512-997-8944
Mailing Address - Fax:
Practice Address - Street 1:1524 S. IH-35
Practice Address - Street 2:SUITE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8931
Practice Address - Country:US
Practice Address - Phone:512-343-8606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-15
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional