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General NPI Number Information
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NPI Number | 1851564934
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Entity Type | Individual
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Provider Name | BETSY LEE WILLIAMS PSYD, BCPC, MA
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Gender | Female
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 2800 YOUREE DR STE 301
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City | SHREVEPORT
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State | LA
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Zip | 71104-3660
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Country | US
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Telephone | 318-210-0928
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Fax | 318-425-9644
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Provider Business Mailing Address
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Address Line | 2285 BENTON RD STE D103
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City | BOSSIER CITY
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State | LA
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Zip | 71111-3465
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Country | US
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Telephone | 318-584-7197
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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