Provider Demographics
NPI:1497141808
Name:WILLIAMS, LARONDA (AA,BS,MA)
Entity Type:Individual
Prefix:
First Name:LARONDA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AA,BS,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 CARLISLE CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7307
Mailing Address - Country:US
Mailing Address - Phone:504-222-9063
Mailing Address - Fax:504-301-4502
Practice Address - Street 1:6115 CARLISLE CT
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7307
Practice Address - Country:US
Practice Address - Phone:504-222-9063
Practice Address - Fax:504-301-4502
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant