Provider Demographics
NPI:1669733820
Name:WILLIAMS, RHONNIE (LMSW)
Entity type:Individual
Prefix:
First Name:RHONNIE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 WYNNEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8773
Mailing Address - Country:US
Mailing Address - Phone:817-255-7150
Mailing Address - Fax:817-255-7166
Practice Address - Street 1:1518 E LANCASTER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-6718
Practice Address - Country:US
Practice Address - Phone:817-255-7150
Practice Address - Fax:817-255-7166
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000008612104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker