Most Relevant Information
Provider Data
| NPI Number: | 1003365040 |
| Provider Name: | TIA WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2016 |
| Last Updated: | 06/11/2018 |
Provider Practice Location
4951 CENTRAL AVE
MONROE
LA
71203
Practice Location Phone/Fax
| Phone: | 3183401535 |
| Fax: |
Provider Mailing Location
850 KALISTE SALOOM RD STE 117
LAFAYETTE
LA
705084230
Provider Mailing Phone/Fax
| Phone: | 3372347109 |
| Fax: | 3372347898 |