Provider Demographics
NPI:1992044481
Name:GUNN-WILLIAMS, LAWANNA KAYE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAWANNA
Middle Name:KAYE
Last Name:GUNN-WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-8245
Mailing Address - Country:US
Mailing Address - Phone:318-512-9666
Mailing Address - Fax:318-323-9151
Practice Address - Street 1:1006 ROGERS ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-8245
Practice Address - Country:US
Practice Address - Phone:318-512-9666
Practice Address - Fax:318-323-9151
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist