Provider Demographics
NPI:1295068146
Name:WILLIAMS, MONICA MICHELLE
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:MICHELLE
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 1:1344 SHIPYARD DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-6645
Mailing Address - Country:US
Mailing Address - Phone:985-503-9175
Mailing Address - Fax:
Practice Address - Street 1:12350 DEL AMO BLVD
Practice Address - Street 2:#2516
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90715-1732
Practice Address - Country:US
Practice Address - Phone:323-244-1218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator