MR. LYLBURN CLINTON WILLIAMS (NPI# 1255637112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255637112 |
| Entity Type | Individual |
| Full Name | MR. LYLBURN CLINTON WILLIAMS |
| Other Name | MR. CLINT WILLIAMS |
| Practice Address |
702 San Pedro Ave None San Antonio TX 78212-4610 |
| Practice Telephone | 2105634938 |
| Practice Fax Number | 2102992413 |
| Mailing Telephone | 2102992400 |
| Mailing Fax Number | 2102992413 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 63759 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
63759 | TX | Behavioral Health & Social Service Providers |
| Street Address |
702 SAN PEDRO AVE NONE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962737 | Edward Philip Ynostrosa-travers | Counselor | 702 San Pedro Ave, San Antonio, TX 78212 | 2006-05-23 |
| 1134755994 | Vanessa Ann Minjares | Counselor | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2020-03-12 |
| 1760017511 | Amy Jo Orr | Social Worker | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2020-03-11 |
| 1578114112 | Dominique Rasso | Social Worker | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2019-09-25 |
| 1356992283 | Yukiko Okuno | Case Manager/Care Coordinator | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2019-09-23 |
| 1184275067 | Fred B Cardenas | Case Manager/Care Coordinator | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2019-09-23 |
| 1124678446 | Jose Antonio Lopez | Case Manager/Care Coordinator | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2019-09-18 |
| 1861042160 | Carolyn Elise Carne | Case Manager/Care Coordinator | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2019-09-18 |
| 1437605441 | Adam Runey | Counselor | 702 San Pedro Ave, San Antonio, TX 78212 | 2016-08-30 |
| 1689023632 | Carmen Cushman | Social Worker | 702 San Pedro Ave, San Antonio, TX 78212-4610 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011047 | Concentric Counseling and Coaching, Pllc | Counselor | 7113 San Pedro Ave # 493, San Antonio, TX 78216-6219 | 2020-10-21 |
| 1609473685 | Juliana Guadamuz | Counselor | 5919 Cliff Valley Dr, San Antonio, TX 78250-3921 | 2020-10-03 |
| 1639786635 | Lara Durand Stern | Counselor | 1153 Mesa Blanca, San Antonio, TX 78248-2613 | 2020-09-24 |
| 1326651290 | Olga M Luquis | Counselor | 10471 Tippecanoe, San Antonio, TX 78245-3131 | 2020-08-28 |
| 1447869094 | Sofia Andrea De La Garza | Counselor | 5811 Ben Casey Dr, San Antonio, TX 78240-3418 | 2020-07-29 |
| 1285242131 | Robert Edward Williamson | Counselor | 9939 Fredericksburg Rd Apt 815, San Antonio, TX 78240-4153 | 2020-07-16 |
| 1972121085 | Charles Jones | Counselor | 6018 Upland Vw, San Antonio, TX 78244-1752 | 2020-07-07 |
| 1013535152 | Glynis Fresia | Counselor | 23007 Casey Cyn, San Antonio, TX 78255-1051 | 2020-07-06 |
| 1235753161 | Tiffany Bridgers | Counselor | 6320 Village Arbor, San Antonio, TX 78250-5752 | 2020-06-06 |
| 1972127983 | Diana Sue Rangel-duncan | Counselor | 3234 Morning Crk, San Antonio, TX 78247-3326 | 2020-06-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on MR. LYLBURN CLINTON WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.