Anderson, Willie
Anderson, Willie is an sole proprietor health care provider with primary practice located at 1040 Aime St , Denham Springs LA 70726-4102. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Anderson, Willie can be contacted via phone (225) 747-1563.Contact Information
Primary practice address
1040 Aime St
Denham Springs LA 70726-4102
Phone: (225) 747-1563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | WA861035 | Louisiana |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | WA861035 | Louisiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | WA861035 | Louisiana |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | WA861035 | Louisiana |
Profile Details
| NPI number | 1376115287 |
|---|---|
| LBN Legal business name | Anderson, Willie |
| Credentials | AACT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2021 |
| Last updated | Jul 12th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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