Basic Information
Provider Information | |||||||||
NPI: | 1851307771 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | WILLIAMS | ||||||||
FirstName: | RITA | ||||||||
MiddleName: | M | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | RN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 3300 WEST ESPLANADE AVE | ||||||||
Address2: | SUITE 213 | ||||||||
City: | METAIRIE | ||||||||
State: | LA | ||||||||
PostalCode: | 70002 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5048385716 | ||||||||
FaxNumber: | 5048385714 | ||||||||
Practice Location | |||||||||
Address1: | 5001 WESTBANK EXPRESSWAY | ||||||||
Address2: |   | ||||||||
City: | MARRERO | ||||||||
State: | LA | ||||||||
PostalCode: | 70072 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5043498708 | ||||||||
FaxNumber: | 5043298703 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/31/2006 | ||||||||
LastUpdateDate: | 07/08/2007 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA0400X | RN033399 | LA | X |   | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) | 163WP0808X | RN033399 | LA | X |   | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.