Cornelius Williams
Pastoral Counselor
803 W Bayou Pines Dr Ste D
Lake Charles
, Louisiana 70601-7096
Cornelius Williams
Pastoral Counselor
803 W Bayou Pines Dr Ste D
Lake Charles
, Louisiana 70601-7096
(337) 304-7075
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Cornelius Williams
- 803 W Bayou Pines Dr Ste D
- Lake Charles, LA
- Zip : 70601-7096
- Phone : (337) 304-7075
Second Address
- Cornelius Williams
- 803 W Bayou Pines Dr Ste D
- Lake Charles, LA
- Zip : 70601-7096
- Phone : (337) 304-7075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | LA |
National Provider Identifier
| NPI | 1215389184 |
|---|---|
| Provider Name | Cornelius Williams |
| First Address | Lake Charles, LA 70601-7096 |
| Second Address | Lake Charles, LA 70601-7096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2016 |
| Last Update Date | 05/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000 | BH MENTAL HEALTH PROFESSIONAL (01) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.