Most Relevant Information
Provider Data
| NPI Number: | 1003263708 |
| Provider Name: | SHELITA WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 006183672 |
Most Important Dates
| Enumeration Date: | 05/23/2016 |
| Last Updated: | 05/23/2016 |
Provider Practice Location
2053 GAUSE BLVD E
SLIDELL
LA
704615449
Practice Location Phone/Fax
| Phone: | 9856491001 |
| Fax: |
Provider Mailing Location
2053 GAUSE BLVD E
SLIDELL
LA
704615449
Provider Mailing Phone/Fax
| Phone: | 9856491001 |
| Fax: |