Provider Demographics
NPI:1932815404
Name:WILLIAMSON, LISA YVETTE (CHAPLAIN CLINICIAN)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:YVETTE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:CHAPLAIN CLINICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-1563
Mailing Address - Country:US
Mailing Address - Phone:504-408-4038
Mailing Address - Fax:
Practice Address - Street 1:301 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-1563
Practice Address - Country:US
Practice Address - Phone:504-408-4038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral