Provider Demographics
NPI:1417382987
Name:WILLIAMS, CHAILA (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHAILA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
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 13474
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70185-3474
Mailing Address - Country:US
Mailing Address - Phone:504-473-5171
Mailing Address - Fax:504-241-6971
Practice Address - Street 1:4751 SHALIMAR DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-3828
Practice Address - Country:US
Practice Address - Phone:504-473-5171
Practice Address - Fax:504-241-6971
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional