NPIMap

Organization Active NPI

Williamson Therapy and Learning Center

  • Speech-Language Pathologist
  • Gonzales, LA
National Provider Identifier
1033609094
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3584 Issued in LA
Legal business name
WILLIAMSON THERAPY AND LEARNING CENTER
Practice address
625 S Burnside Ave Ste 2
Gonzales, LA 70737-3400
Phone
(225) 437-9535
Fax
(225) 647-3704
NPI assigned
May 15, 2018
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlene T Williamson, MA, CCC SLPNPI 1861652380
Title
Speech Language Pathologist
Phone
(225) 437-9535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3584 LA Primary

Addresses

Primary practice location

625 S Burnside Ave Ste 2
Gonzales, LA 70737-3400

Mailing address

1115 Etta Dr
Saint Gabriel, LA 70776-5619
Phone (225) 437-9535

Other names 1

  • Williamson Speech Therapy and Learning Center Other name

National Provider Directory

National Provider Directory

Locations

625 S Burnside Ave
Ste 2
Gonzales, LA 70737
Phone (225) 437-9535

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1033609094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ETTA DR",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707765619",
            "telephone_number": "225-437-9535",
            "fax_number": "225-647-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S BURNSIDE AVE STE 2",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373400",
            "telephone_number": "225-437-9535",
            "fax_number": "225-647-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON THERAPY AND LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "225-437-9535",
        "authorized_official_credential": "MA, CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Speech Therapy and Learning Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.