Basic Information
| Provider Information | |||||||||
| NPI: | 1518133420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | DANNY | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4919 JAMESTOWN AVE STE 102 | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708083228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2259246621 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6002 PERKINS RD STE C2 | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708084284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2258315151 | ||||||||
| FaxNumber: | 2253088438 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2008 | ||||||||
| LastUpdateDate: | 01/28/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 2383 | LA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.