Provider Demographics
NPI:1447860978
Name:COLLOR, NIESHA WILLIAMS (PLPC)
Entity type:Individual
Prefix:
First Name:NIESHA
Middle Name:WILLIAMS
Last Name:COLLOR
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:NIESHA
Other - Middle Name:WILLIAMS
Other - Last Name:COLLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NIESHA COLLOR PLPC
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70073-0305
Mailing Address - Country:US
Mailing Address - Phone:504-484-2858
Mailing Address - Fax:
Practice Address - Street 1:1141 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-5011
Practice Address - Country:US
Practice Address - Phone:504-484-2858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8299171M00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty