Provider Demographics
NPI:1235855628
Name:WILLIAMS, SEAIRRA RENEA
Entity type:Individual
Prefix:
First Name:SEAIRRA
Middle Name:RENEA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 COUNTY ROAD 4115
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:TX
Mailing Address - Zip Code:75422-1869
Mailing Address - Country:US
Mailing Address - Phone:945-218-5693
Mailing Address - Fax:945-218-5539
Practice Address - Street 1:1403 COUNTY ROAD 4115
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:TX
Practice Address - Zip Code:75422-1869
Practice Address - Country:US
Practice Address - Phone:945-218-5693
Practice Address - Fax:945-218-5539
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100621101YM0800X, 101Y00000X, 101YA0400X, 171M00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional