Williams, Mark Timothy
Williams, Mark Timothy is an sole proprietor health care provider with primary practice located at 3118 Fairway Dr , Las Cruces NM 88011-4915. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Williams, Mark Timothy can be contacted via phone (575) 649-3076.Contact Information
Primary practice address
3118 Fairway Dr
Las Cruces NM 88011-4915
Phone: (575) 649-3076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-06223 | New Mexico |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0110541 | New Mexico |
Profile Details
| NPI number | 1952383762 |
|---|---|
| LBN Legal business name | Williams, Mark Timothy |
| Credentials | LISW,LCSW,LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Apr 13th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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