Individual
LYNETTE STANLEY-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 LINWOOD AVE, SHREVEPORT, LA 71103-4512
(318) 347-7394
Mailing address
911 LAZYWOOD LN, SHREVEPORT, LA 71108-5911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9848
LA
101YP2500X
Professional Counselor
Primary
PLC9848
LA
171M00000X
Case Manager/Care Coordinator
PLC9848
LA
Other
Enumeration date
03/21/2017
Last updated
08/19/2024
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