Provider Demographics
NPI:1548068273
Name:WILLIAMS, KESHAYKA SHANTELL (LCSW-S)
Entity type:Individual
Prefix:
First Name:KESHAYKA
Middle Name:SHANTELL
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:LCSW-S
Other - Prefix:
Other - First Name:KIKI
Other - Middle Name:SHANTELL
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-S
Mailing Address - Street 1:13917 VIRTUE ST
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-2244
Mailing Address - Country:US
Mailing Address - Phone:512-850-5457
Mailing Address - Fax:
Practice Address - Street 1:13917 VIRTUE ST
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-2244
Practice Address - Country:US
Practice Address - Phone:512-850-5457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical