Individual
MS. LANA TUCKER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW LCSW
Contact information
Practice address
3300 ACADEMY AVE, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
3300 ACADEMY AVENUE, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010063523
—
VA
01
—
044796
VALUE OPTIONS
VA
01
—
060612000
MAGELLAN
VA
01
—
089195
OPTIMA MH
VA
01
—
116162
VA. BL BS
VA
01
—
131949
MHN
VA
01
—
234673
COM PSYCH
VA
01
—
452681
MAMSI
VA
01
—
7531491
CHAMPUS/TRICARE
VA
01
—
753149110
COMMERCIAL
VA
01
—
7882412
AETNA
VA
Enumeration date
07/03/2006
Last updated
06/24/2008
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