Basic Information
| Provider Information | |||||||||
| NPI: | 1962866087 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANOINTED APPOINTMENT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1927 CORPORATE SQUARE DR STE C | ||||||||
| Address2: | |||||||||
| City: | SLIDELL | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704583166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044735171 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1927 CORPORATE SQUARE DR STE C | ||||||||
| Address2: | |||||||||
| City: | SLIDELL | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704583166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044735171 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2016 | ||||||||
| LastUpdateDate: | 04/06/2016 | ||||||||
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| AuthorizedOfficialLastName: | WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | CHAILA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5044735171 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | NCC, LPC-S | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | LA | Y | Agencies | Community/Behavioral Health |
No ID Information.