Healthcare Provider Details

I. General information

NPI: 1477488864
Provider Name (Legal Business Name): TANGI R MILTON WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8211 GOODWOOD BLVD # 81
BATON ROUGE LA
70806-7740
US

IV. Provider business mailing address

8211 GOODWOOD BLVD # 81
BATON ROUGE LA
70806-7740
US

V. Phone/Fax

Practice location:
  • Phone: 225-206-4060
  • Fax: 225-372-8649
Mailing address:
  • Phone: 225-206-4060
  • Fax: 225-372-8649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: