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Organization
DIAMOND SOLACE PSYCHIATRIC SERVICES
Active
Organization
DIAMOND SOLACE PSYCHIATRIC SERVICES
Active
Other names
Diamond Solace Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
KAYONTAE WILLIAMS PMHNP-BC (OWNER)
(225) 351-1506
Entity
Organization
Contact information
Practice address
401 EDWARDS ST STE 830, SHREVEPORT, LA 71101-5528
(225) 351-1506
Mailing address
12044 AMSTERDAM AVE, GEISMAR, LA 70734-3359
(225) 351-1506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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