ROBERT JOHN WILLIAMS


Address: 115 Willow St W, Detroit Lakes, MN 56501-3922
Phone: 2188445191

ROBERT JOHN WILLIAMS (NPI# 1740617331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740617331
Entity Type Individual
Full Name ROBERT JOHN WILLIAMS
Credential MA, LADC, LPC, LAC
Practice Address 115 Willow St W
Detroit Lakes
MN 56501-3922
Mailing Address 1202 23rd St S
Fargo
ND 58103-2951
Practice Telephone 2188445191
Practice Fax Number 2188445193
Mailing Telephone 7012930736
Enumeration Date 2013-09-27
Last Update Date 2013-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1685 ND Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
302910 MN Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
1100 MN Behavioral Health & Social Service Providers

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Office Location

Street Address 115 WILLOW ST W
City DETROIT LAKES
State MN
Zip Code 56501-3922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689618662 Erin Nichole Lindberg Occupational Therapist 115 Willow St W, Detroit Lakes, MN 56501-3922 2006-06-16
1447588918 Jennifer Rebecca Gifford Counselor 115 Willow St W, Suite #1, Detroit Lakes, MN 56501-3922 2009-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588265649 Candace Louise Haugtvedt Pharmacist 321 Us-10 West, Detroit Lakes, MN 56501 2020-11-05
1679068407 Strive Chiropractic Detroit Lakes LLC Chiropractor 1852 Nodaway Drive, Detroit Lakes, MN 56501 2018-06-25
1194215830 Jordan James Reese Registered Nurse 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 2018-05-17
1992179386 Compassion House Substance Abuse Rehabilitation Facility 811 8th St. Se, Detroit Lakes, MN 56501 2015-11-23
1720344286 Lakes Crisis & Resource Center Clinic/Center 1339 Pelican Lane, Detroit Lakes, MN 56501 2012-04-09
1063657120 Diane Jean Mccormack Occupational Therapist 15840 Long Lake Road, Detroit Lakes, MN 56501 2008-12-03
1588817928 Darcy Caleb Olson Counselor 925 Lake Ave, Detroit Lakes, MN 56501 2008-10-29
1760651079 Rapidcare Urgent Care Pllc Family Medicine 1361 Wenner Road, Detroit Lakes, MN 56501 2008-02-21
1427274729 Jeffrey C Gregory Psychologist 910 Lincoln Ave, Detroit Lakes, MN 56501 2007-04-17
1144364894 Midwest Vision Centers Inc Eyewear Supplier (Equipment, not the service) 830 Washington Avenue, Detroit Lakes, MN 56501 2007-02-16
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083234959 Angela D Horner Counselor 1301 Roosevelt Ave, Detroit Lakes, MN 56501-4407 2020-04-21
1699203232 Ronald Charles Royer Counselor 811 8th St Se, Detroit Lakes, MN 56501-2842 2017-05-26
1699191767 Timothy J Weeks Counselor 115 Willow St W Ste 1, Detroit Lakes, MN 56501-3922 2014-03-12
1588817928 Darcy Caleb Olson Counselor 925 Lake Ave, Detroit Lakes, MN 56501 2008-10-29
1962671420 Recovery Works/bc Jail House Program Counselor 640 Randolph Road, Detroit Lakes, MN 56502-0288 2008-02-28
1861497190 Perl Corporation Counselor 1000 8th St Se, Detroit Lakes, MN 56501-2838 2005-06-14
1275132565 Michael Keith Lachapelle Counselor 28579 Us Highway 10, Detroit Lakes, MN 56501-7308 2020-10-19
1114497609 Krystal Marie Ramirez Counselor 28579 Us Highway 10, Detroit Lakes, MN 56501-7308 2018-11-28
1407367444 Anderson Saint Georges Counselor 811 8th St Se, Detroit Lakes, MN 56501-2842 2017-10-17
1669864013 Molly Sumers Counselor 28579 Us Highway 10, Detroit Lakes, MN 56501-7308 2015-02-23
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Competitor

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City DETROIT LAKES
Zip Code 56501

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Dataset Information

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.

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