Provider Information for 1780057679
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
PRECIOUS WILKERSON-CARR LCSW
Sex: Female
NPI: 1780057679
Last Updated: 2019-07-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780057679 | ||||||||
| Enumeration Date | 2015-11-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1600 BISTINEAU ST RUSTON, LA 71270-5211 United States Phone: 318-344-9156 | Fax: | ||||||||
| Primary Practice Address | 622 RIVERSIDE DR MONROE, LA 71201 United States Phone: 318-344-9156 | Fax:318-398-4314 | ||||||||
| Secondary Practice Address(es) | 1108 STERLINGTON HWY | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|