Provider Demographics
NPI:1730702135
Name:WILLIAMS, KE'SHAYA LA'SHAYA
Entity type:Individual
Prefix:MISS
First Name:KE'SHAYA
Middle Name:LA'SHAYA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 PAILET AVE
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3519
Mailing Address - Country:US
Mailing Address - Phone:504-722-5216
Mailing Address - Fax:
Practice Address - Street 1:113 LAPALCO BLVD
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7100
Practice Address - Country:US
Practice Address - Phone:504-722-5216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor