Williams, Michelle A
Williams, Michelle A is an individual health care provider with primary practice located at Us Highway 491 North , Shiprock NM 87420. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Williams, Michelle A can be contacted via phone (505) 368-6401.Contact Information
Primary practice address
Us Highway 491 North
Shiprock NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | X-05605 | New Mexico |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PENDING | New Mexico |
Profile Details
| NPI number | 1356424006 |
|---|---|
| LBN Legal business name | Williams, Michelle A |
| Credentials | LADAC/LBSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Nov 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356424006 | NPPES |
| New Mexico | MEDICAID | PENDING |
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