Provider Demographics
NPI:1437371242
Name:WILLIAMS, LINDA SUE (MA LLP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA LLP
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:SUE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LLP
Mailing Address - Street 1:1720 LEONIDAS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2156
Mailing Address - Country:US
Mailing Address - Phone:269-873-2939
Mailing Address - Fax:269-000-0000
Practice Address - Street 1:1720 LEONIDAS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2156
Practice Address - Country:US
Practice Address - Phone:269-873-2939
Practice Address - Fax:269-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301010728103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling