Williams, Antoinay
Williams, Antoinay is an individual health care provider with primary practice located at 2715 Mackey Ln , Shreveport LA 71118-2556. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Williams, Antoinay can be contacted via phone (318) 617-3504.Contact Information
Primary practice address
2715 Mackey Ln
Shreveport LA 71118-2556
Phone: (318) 617-3504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1962951822 |
|---|---|
| LBN Legal business name | Williams, Antoinay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2016 |
| Last updated | Oct 3rd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962951822 | NPPES |
| Louisiana | MEDICAID | 1003279654 |
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