Provider Demographics
NPI:1174979421
Name:WILLIAMS, DONYETTE
Entity type:Individual
Prefix:
First Name:DONYETTE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W JUDGE PEREZ DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4871
Mailing Address - Country:US
Mailing Address - Phone:504-505-2744
Mailing Address - Fax:504-322-2414
Practice Address - Street 1:700 W JUDGE PEREZ DR STE 103
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4871
Practice Address - Country:US
Practice Address - Phone:504-505-2744
Practice Address - Fax:504-322-2414
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst