Provider Demographics
NPI:1801126594
Name:WILLIAMS, LYNDA J (LPC-S, LCDC)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC-S, LCDC
Other - Prefix:MS
Other - First Name:LYNDA
Other - Middle Name:J
Other - Last Name:DOROTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:2219 CANYON TRL
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1631
Mailing Address - Country:US
Mailing Address - Phone:214-282-9979
Mailing Address - Fax:
Practice Address - Street 1:14114 DALLAS PKWY
Practice Address - Street 2:STE. 245
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-4325
Practice Address - Country:US
Practice Address - Phone:214-282-9979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-03
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1304101YA0400X
TX60782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)