Provider Demographics
NPI:1083057921
Name:WILLIAMS, ROSSALIN ELAINE (LMSW)
Entity Type:Individual
Prefix:
First Name:ROSSALIN
Middle Name:ELAINE
Last Name:WILLIAMS
Suffix:
Gender:F
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:PO BOX 172
Mailing Address - Street 2:907 LONGFORD STREET
Mailing Address - City:BOYCE
Mailing Address - State:LA
Mailing Address - Zip Code:71409-0172
Mailing Address - Country:US
Mailing Address - Phone:318-709-7896
Mailing Address - Fax:
Practice Address - Street 1:MEADOW LANE, CLSH, UNIT 6
Practice Address - Street 2:PATHWAYS BEHAVIORAL HEALTH
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360
Practice Address - Country:US
Practice Address - Phone:318-484-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10689104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker