Provider Demographics
NPI:1659723450
Name:ML WILLIAMS LLC
Entity Type:Organization
Organization Name:ML WILLIAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:337-990-5308
Mailing Address - Street 1:900 RYAN ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-9401
Mailing Address - Country:US
Mailing Address - Phone:337-990-5308
Mailing Address - Fax:337-990-5314
Practice Address - Street 1:900 RYAN ST
Practice Address - Street 2:SUITE 405
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-9401
Practice Address - Country:US
Practice Address - Phone:337-990-5308
Practice Address - Fax:337-990-5314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4611251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health