Provider Demographics
NPI:1679624175
Name:WILLIAMS, PATTI MCBRIDE (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:MCBRIDE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 JORDAN ST
Mailing Address - Street 2:SUITE 475
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4518
Mailing Address - Country:US
Mailing Address - Phone:318-424-4271
Mailing Address - Fax:318-424-8194
Practice Address - Street 1:820 JORDAN ST
Practice Address - Street 2:SUITE 475
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4518
Practice Address - Country:US
Practice Address - Phone:318-424-4271
Practice Address - Fax:318-424-8194
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1986101YM0800X
TX16986101YM0800X
LA560106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist