Provider Demographics
NPI:1760054480
Name:WILLIAMS, LARNAISHA QULANA SINGLETON (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LARNAISHA
Middle Name:QULANA SINGLETON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 ORCHARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-6665
Mailing Address - Country:US
Mailing Address - Phone:337-292-1456
Mailing Address - Fax:
Practice Address - Street 1:400 POYDRAS ST STE 1950
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3341
Practice Address - Country:US
Practice Address - Phone:504-322-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA221134363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health