| Shannon Lynch Williams, M.ed., Lpc, Ncc | |
|
107 W Main Trinity TX 75862-0000 | |
| (409) 283-1974 | |
| (936) 228-7994 |
| Full Name | Shannon Lynch Williams, M.ed., Lpc, Ncc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 W Main, Trinity, Texas |
| Authorized Official Name and Position | Shannon L Williams (OWNER) |
| Authorized Official Contact | 4092831974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lynch Williams, M.ed., Lpc, Ncc 6858 Kingston Cove Ln Willis TX 77318-9121 Ph: (409) 283-1974 | Shannon Lynch Williams, M.ed., Lpc, Ncc 107 W Main Trinity TX 75862-0000 Ph: (409) 283-1974 |
| NPI Number | 1134546724 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 03/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134546724 | NPI | - | NPPES |
| 2303810 | Other | TX | COMPSYCH |
| 323797601 | Medicaid | TX | |
| 12618131 | Other | TX | CAQH ID |
| 323797602 | Medicaid | TX | |
| 9203LL | Other | TX | BLUE CROSS BLUE CHIELD OF TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 66084 (Texas) | Primary |
Rise Counseling And Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, Trinity, TX 75862 Phone: 936-642-0061 Fax: 936-715-3345 |