Provider Demographics
NPI:1750807384
Name:WILLIAMS, EVA (MA/QMHP-CS)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA/QMHP-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 SHELDON DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8380
Mailing Address - Country:US
Mailing Address - Phone:832-208-9955
Mailing Address - Fax:
Practice Address - Street 1:9006 SCOTT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-2751
Practice Address - Country:US
Practice Address - Phone:281-888-6562
Practice Address - Fax:281-888-6562
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health