Active NPI
Diamond Solace Psychiatric Services
- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1114740354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DIAMOND SOLACE PSYCHIATRIC SERVICES
- Practice address
- 401 Edwards St Ste 830
Shreveport, LA 71101-5528 - Phone
- (225) 351-1506
- NPI assigned
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayontae Williams, PMHNP-BC
- Title
- Owner
- Phone
- (225) 351-1506
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
401 Edwards St Ste 830
Shreveport, LA 71101-5528
Mailing address
12044 Amsterdam Ave
Geismar, LA 70734-3359
Phone (225) 351-1506
Other practice location 1
12044 Amsterdam Ave
Geismar, LA 70734-3359
Phone (225) 351-1506
Other names 1
- Diamond Solace Psychiatric Services
National Provider Directory
National Provider DirectoryLocations
401 Edwards St
Ste 830
Shreveport, LA 71101
Phone (225) 351-1506
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kenner, LA
- NPI 1689084832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1114740354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12044 AMSTERDAM AVE",
"city": "GEISMAR",
"state": "LA",
"postal_code": "707343359",
"telephone_number": "225-351-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 EDWARDS ST STE 830",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711015528",
"telephone_number": "225-351-1506"
}
],
"practiceLocations": [
{
"address_1": "12044 Amsterdam Ave",
"address_purpose": "LOCATION",
"city": "Geismar",
"state": "LA",
"postal_code": "707343359",
"country_code": "US",
"telephone_number": "225-351-1506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIAMOND SOLACE PSYCHIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KAYONTAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-351-1506",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diamond Solace Psychiatric Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.