Individual
ANITA ROSHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MARINERS PLAZA DR STE 603, MANDEVILLE, LA 70448
(504) 821-8184
Mailing address
600 MARINERS PLAZA DR STE 603, MANDEVILLE, LA 70448-6826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721469692
—
LA
Enumeration date
06/13/2017
Last updated
08/07/2018
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