Provider Demographics
NPI:1134575871
Name:WILLIAMS, TORRATIO (PLPC)
Entity type:Individual
Prefix:MR
First Name:TORRATIO
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 FELICIA AVE
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-8203
Mailing Address - Country:US
Mailing Address - Phone:318-574-1232
Mailing Address - Fax:
Practice Address - Street 1:410 E ASKEW ST
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-3706
Practice Address - Country:US
Practice Address - Phone:318-574-2320
Practice Address - Fax:318-574-5454
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8944261QM0801X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)