Provider Demographics
NPI:1851564934
Name:WILLIAMS, BETSY LEE (PSYD, BCPC, MA)
Entity Type:Individual
Prefix:MS
First Name:BETSY
Middle Name:LEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD, BCPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2285 BENTON RD STE D103
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-3465
Mailing Address - Country:US
Mailing Address - Phone:318-584-7197
Mailing Address - Fax:
Practice Address - Street 1:2800 YOUREE DR STE 301
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3660
Practice Address - Country:US
Practice Address - Phone:318-210-0928
Practice Address - Fax:318-425-9644
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional