Provider Demographics
NPI:1952458598
Name:WILLIAMS, ANTHONY JAMES (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:
Gender:M
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 1:4300 YOUREE DR
Mailing Address - Street 2:SUITE 320-A
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-3329
Mailing Address - Country:US
Mailing Address - Phone:318-219-9508
Mailing Address - Fax:318-219-9514
Practice Address - Street 1:7505 PINES RD STE 1292
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-3900
Practice Address - Country:US
Practice Address - Phone:318-219-9508
Practice Address - Fax:318-219-9514
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2019-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA61106H00000X
LA1692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist