Healthcare Provider Details

I. General information

NPI: 1053842104
Provider Name (Legal Business Name): APRIL WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 05/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 4TH ST
JONESBORO LA
71251
US

IV. Provider business mailing address

103 4TH ST
JONESBORO LA
71251-3346
US

V. Phone/Fax

Practice location:
  • Phone: 318-259-1500
  • Fax: 318-259-1580
Mailing address:
  • Phone: 318-259-1500
  • Fax: 318-259-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: