Burnett Williams, Carol

Burnett Williams, Carol is an sole proprietor health care provider with primary practice located at 814 W 21St Ave , Covington LA 70433-7405. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Burnett Williams, Carol can be contacted via phone (985) 520-2920.

Contact Information

Primary practice address
814 W 21St Ave Covington LA 70433-7405
Phone: (985) 520-2920
Fax: (866) 465-0075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5610 Louisiana
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1698 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1922 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 5610 Louisiana

Profile Details

NPI number 1275833725
LBN Legal business name Burnett Williams, Carol
Credentials LPC, MS, CMHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2010
Last updated Jun 29th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275833725 NPPES
Louisiana MEDICAID 3226456

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