KADY WILLIAMS LLC (NPI# 1174072672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174072672 |
Entity Type | Organization |
Organization Name | KADY WILLIAMS LLC |
Practice Address |
147 S Rancho Vista Dr Pueblo CO 81007-4047 |
Practice Telephone | 7195688218 |
Mailing Telephone | 7195688218 |
Enumeration Date | 2016-09-25 |
Last Update Date | 2016-09-25 |
Authorized Official Name | MRS. KADY WILLIAMS (PSYCHIATRIC MENTAL HEALTH NP) |
Authorized Official Telephone | 7195688218 |
Authorized Official Credential | PMHNP |
Is Organization Subpart | Y |
Parent Organization Name | KADY WILLIAMS LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
0991676-NP | CO | Ambulatory Health Care Facilities |
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
00991676-NP | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 482544 | 05 |
Street Address |
147 S RANCHO VISTA DR |
City | PUEBLO |
State | CO |
Zip Code | 81007-4047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
Find all providers in zip 81007 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063868263 | A New Leaf Therapy, LLC | Clinic/Center | 315 Colorado Ave, Pueblo, CO 81004-2046 | 2016-05-06 |
1215377874 | Robert B Goos | Clinic/Center | 1115 N Grand Ave, Pueblo, CO 81003-2867 | 2013-06-27 |
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1902418965 | Klarisana Physician Services Pllc | Clinic/Center | 5005 W 81st Pl Ste 403, Westminster, CO 80031-7025 | 2020-08-20 |
1033736699 | A Phoenix Rising, LLC | Clinic/Center | 731 N Weber St Ste 211, Colorado Springs, CO 80903-1019 | 2020-06-30 |
1003433947 | Key Counseling, LLC. | Clinic/Center | 3705 Kipling, Optional, Wheat Ridge, CO 80033-8003 | 2020-06-26 |
1225653413 | Awake Mindful Therapy | Clinic/Center | 30922 Hilltop Dr, Evergreen, CO 80439-8762 | 2020-06-12 |
1154941540 | Galia R. Abadi Inc. | Clinic/Center | 4155 E Jewell Ave Ste 1004, Denver, CO 80222-4514 | 2020-04-25 |
1063047900 | Map and The Mirror Counseling, LLC | Clinic/Center | 911 Two Rivers Dr, Telluride, CO 81435-9152 | 2020-03-11 |
1306478961 | Specialized Alternatives for Families and Youth of Colorado, Inc. | Clinic/Center | 12500 E Iliff Ave Ste 110, Aurora, CO 80014-1268 | 2020-02-11 |
1508497348 | Josmar Trejo-sanchez | Clinic/Center | 2460 W 26th Ave Ste 217c, Denver, CO 80211-5312 | 2020-01-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.