Organization
SOUL SOLUTIONS, PLLC
Active
Other names
Shannon Lynch Williams, M.Ed., LPC, NCC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON L WILLIAMS M.ED., LPC, NCC (OWNER)
(409) 283-1974
Entity
Organization
Contact information
Practice address
107 W MAIN, TRINITY, TX 75862-0000
(409) 283-1974
(936) 228-7994
Mailing address
6858 KINGSTON COVE LN, WILLIS, TX 77318-9121
(409) 283-1974
(936) 228-7994
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
66084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12618131
CAQH ID
TX
01
—
2303810
COMPSYCH
TX
05
—
323797601
—
TX
05
—
323797602
—
TX
01
—
9203LL
BLUE CROSS BLUE CHIELD OF TX
TX
Enumeration date
03/21/2014
Last updated
03/21/2014
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