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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124508205 | Robert Williams | Counselor | 4 Forest Ave Ste 201, Paramus, NJ 07652-5214 | 2018-08-17 |
1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
1578929386 | Robert Williams | Psychologist | 24 Neal Rd, Windham, ME 04062-4974 | 2016-01-08 |
1982085999 | Robert James Williams | Counselor | 910 E. Ohio Ave. #104, Escondido, CA 92025 | 2015-06-16 |
1902293095 | Robert J Williams | Massage Therapist | 238 Sidney St, Dundee, MI 48131-1267 | 2015-04-16 |
1801292263 | Robert Terrance Williams | Peer Specialist | 1149 North El Dorado, Stockton, CA 95202 | 2014-11-13 |
1700291242 | Robert Williams | Physical Therapist | 9310 Sun City Blvd Ste 103, Las Vegas, NV 89134-1705 | 2014-06-24 |
1447691704 | Robert Tray Williams | Chiropractor | 411 E Highway 19, Chickasha, OK 73018-8172 | 2013-07-15 |
1376839431 | Robert Mack Williams | Dentist | 6819 Washington Ave Ste C, Ocean Springs, MS 39564-2181 | 2011-06-27 |
1881985729 | Robert Williams | Technician | 4930 Ridge Harbor Dr, Houston, TX 77053-5318 | 2011-04-26 |
Street Address |
115 WILLOW ST W |
City | DETROIT LAKES |
State | MN |
Zip Code | 56501-3922 |
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 |
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 |
Find all providers in zip 56501 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in DETROIT LAKES |
City | DETROIT LAKES |
Zip Code | 56501 |
Please comment or provide details below to improve the information on ROBERT JOHN WILLIAMS.
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.