Willis, Laura

Willis, Laura is an individual health care provider with primary practice located at 30826 Linder Rd , Denham Springs LA 70726-8507. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Willis, Laura can be contacted via phone (225) 955-0284.

Contact Information

Primary practice address
30826 Linder Rd Denham Springs LA 70726-8507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1235688516
LBN Legal business name Willis, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Sep 27th, 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 1235688516 NPPES
Louisiana MEDICAID 1548839

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