Individual
ANGELA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 429-6975
(318) 629-2870
Mailing address
6940 CASA COVE DR, SHREVEPORT, LA 71129
(318) 655-2456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
4115
LA
Other
Enumeration date
11/29/2016
Last updated
06/14/2022
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