Williams, Lana Tucker
Williams, Lana Tucker is an individual health care provider with primary practice located at 3300 Academy Ave , Portsmouth VA 23703-3205. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Williams, Lana Tucker can be contacted via phone (757) 483-6404.Contact Information
Primary practice address
3300 Academy Ave
Portsmouth VA 23703-3205
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0904002165 | Virginia |
Profile Details
| NPI number | 1760412183 |
|---|---|
| LBN Legal business name | Williams, Lana Tucker |
| Credentials | ACSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jun 24th, 2008 - about 18 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 | 1760412183 | NPPES |
| Virginia | Other | 452681 | MAMSI |
| Virginia | Other | 753149110 | MAMSI |
| Virginia | MEDICAID | 010063523 | MAMSI |
| Virginia | Other | 044796 | MAMSI |
| Virginia | Other | 116162 | MAMSI |
| Virginia | Other | 234673 | MAMSI |
| Virginia | Other | 7531491 | MAMSI |
| Virginia | Other | 089195 | MAMSI |
| Virginia | Other | 7882412 | MAMSI |
| Virginia | Other | 131949 | MAMSI |
| Virginia | Other | 060612000 | MAMSI |
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