LAKISHA SHANTELL WILLIAMS (NPI# 1861627465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861627465 |
| Entity Type | Individual |
| Full Name | LAKISHA SHANTELL WILLIAMS |
| Credential | PSY.D. |
| Practice Address |
1409 Kirkman St Lake Charles LA 70601-5344 |
| Practice Telephone | 3374193586 |
| Mailing Telephone | 3374193586 |
| Mailing Fax Number | 8552399737 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MP.0018 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826875 | Lakisha Monique Williams | Licensed Practical Nurse | 150 Wright Ave, Buffalo, NY 14215-3572 | 2019-01-31 |
| 1831414564 | Lakisha K Williams | Developmental Therapist | 11529 200th St, Saint Albans, NY 11412-2832 | 2010-04-06 |
| 1356366033 | Lakisha Sandra Williams | Chiropractor | 5506 Imperial Wood Ct, Rosharon, TX 77583-2095 | 2006-07-13 |
| 1710584446 | Lakisha Williams | Behavior Technician | 115 Sudbrook Ln Ste A, Pikesville, MD 21208-4184 | 2020-10-06 |
| 1174120935 | Lakisha M Williams | Nurse Practitioner | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-10-05 |
| 1851941405 | Lakisha Nicole Williams | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-09-16 |
| 1194385211 | Lakisha Williams | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2019-06-20 |
| 1003332636 | Lakisha Williams | Counselor | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2017-08-15 |
| 1669882502 | Lakisha Williams | Massage Therapist | 326 Us Highway 22, Suite 6b, Green Brook, NJ 08812-1756 | 2014-04-30 |
| 1578730396 | Lakisha Williams | Audiologist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2008-05-12 |
| Street Address |
1409 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128304 | Latin Berry Sr. | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-11 |
| 1902421654 | David Jennings Milliken | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-09 |
| 1659995629 | Cole Campo | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-04 |
| 1881223857 | Mollie Yorks | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-04-02 |
| 1447886643 | Morgan Leanne Appleby | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-03-19 |
| 1851925408 | Theresa Marie Hardy | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-02-22 |
| 1346881331 | Veronica Lubin | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-10-01 |
| 1760033385 | Michelle B Harp | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-09-25 |
| 1144875048 | Vanessa Silas Mckinstry | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-08-07 |
| 1639724743 | Aileen Tuttle | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578517439 | Craig D. Waggoner | Psychologist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2006-05-22 |
| 1104176825 | Beyond Words, Inc. | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297182 | George S. Park, Phd., Mp., A Psychology Corporation | Psychologist | 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 | 2017-10-25 |
| 1669887907 | John Courtney LLC | Psychologist | 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 | 2014-06-25 |
| 1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
| 1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
| 1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
| 1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
| 1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
| 1093860371 | Maxine Elizabeth Campbell-flint | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2007-01-24 |
| 1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
| 1043247331 | Bryan L Bolwahnn | Psychologist | 100 Gayven Dr, Ball, LA 71405-4903 | 2006-06-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.