Doctor Name: | RENEE LIRETTE-WILLIAMS |
NPI Number: | 1205143385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 3009 |
Business Practice Address: | 157 Twin Oaks Dr Raceland, LA - 703942761 |
Business Phone Number: | 9855376823 |
Business Fax Number: | |
Mailing Address: | 157 Twin Oaks Dr, RACELAND |
State: | LA |
Postal Code: | 703942761 |
Phone Number: | 9855376823 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |