Provider Demographics
NPI:1871920983
Name:WRIGHT WILLIAMS, TONYA V (LPC - LMFT)
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:V
Last Name:WRIGHT WILLIAMS
Suffix:
Gender:F
Credentials:LPC - LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 LINE AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-2134
Mailing Address - Country:US
Mailing Address - Phone:318-675-1112
Mailing Address - Fax:866-307-9980
Practice Address - Street 1:2210 LINE AVE STE 207
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2134
Practice Address - Country:US
Practice Address - Phone:318-675-1112
Practice Address - Fax:866-307-9980
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X, 251S00000X
LA898106H00000X
LA3023101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist