Provider Demographics
NPI:1902278328
Name:WILLIAMS, KENDRA (LPC)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6408 BACCICH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-6506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2308 HOUMA BLVD
Practice Address - Street 2:APT 606
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1379
Practice Address - Country:US
Practice Address - Phone:504-473-6749
Practice Address - Fax:504-241-6548
Is Sole Proprietor?:No
Enumeration Date:2015-10-25
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X
LA6006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health