| Lisa Williams Lcsw Llc | |
| 
					7191 Us Highway 61 St. Francisville LA 70775  | |
| (225) 245-5040 | |
| (844) 273-2191 | 
| Full Name | Lisa Williams Lcsw Llc | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 7191 Us Highway 61, St. Francisville, Louisiana | 
| Authorized Official Name and Position | Lisa Williams (OWNER) | 
| Authorized Official Contact | 2253143643 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Williams Lcsw Llc 5635 Main St # A136 Zachary LA 70791-4083 Ph: (225) 314-3643  | Lisa Williams Lcsw Llc 7191 Us Highway 61 St. Francisville LA 70775 Ph: (225) 245-5040  | 
| NPI Number | 1366180747 | 
|---|---|
| Provider Enumeration Date | 05/25/2022 | 
| Last Update Date | 05/25/2022 | 
| Certification Date | 04/18/2022 | 
| Medicare PECOS PAC ID | 0840679510 | 
|---|---|
| Medicare Enrollment ID | O20220627001910 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366180747 | NPI | - | NPPES | 
| 2487311 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Provider Name | Lisa Williams | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1245717701 PECOS PAC ID: 3577816727 Enrollment ID: I20181105003025  | 
Angela Landry, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5687 Commerce Street, Suite 7, St. Francisville, LA 70775 Phone: 225-245-5040  | |
Magnolia Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5689a Commerce Street, St. Francisville, LA 70775 Phone: 225-245-5040  | |
Erin Kemp Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5689 A Commerce Street, St. Francisville, LA 70775 Phone: 225-721-8150 Fax: 844-273-2191  |