Williams, Cornelius

Williams, Cornelius is an individual health care provider with primary practice located at 803 W Bayou Pines Dr Ste D , Lake Charles LA 70601-7096. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Williams, Cornelius can be contacted via phone (337) 304-7075.

Contact Information

Primary practice address
803 W Bayou Pines Dr Ste D Lake Charles LA 70601-7096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Louisiana

Profile Details

NPI number 1215389184
LBN Legal business name Williams, Cornelius
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Jul 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215389184 NPPES
Louisiana Other 0000 BH MENTAL HEALTH PROFESSIONAL

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