1467131078 NPI number — MRS. KALYN WARREN WILLIAMS LMFT ASSOCIATE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467131078 NPI number — MRS. KALYN WARREN WILLIAMS LMFT ASSOCIATE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
KALYN
Provider Middle Name:
WARREN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT ASSOCIATE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WARREN
Provider Other First Name:
KALYN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1467131078
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1076 DEER FOREST DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PIPE CREEK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78063-5317
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-329-9552
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 MESA VERDE DR E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTER POINT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78010-3548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-430-6655
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  204847 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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