| Nicole Williams, Lcsw, Llc | |
|
9251 Russell Way Thornton CO 80229-7632 | |
| (720) 316-6276 | |
| Not Available |
| Full Name | Nicole Williams, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9251 Russell Way, Thornton, Colorado |
| Authorized Official Name and Position | Nicole Williams (PRACTICE OWNER, CLINICAL THERAPIST) |
| Authorized Official Contact | 7203166276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Williams, Lcsw, Llc 2205 W. 136th Ave. Ste 106, Pmb 2882 Broomfield CO 80023 Ph: (720) 316-6276 | Nicole Williams, Lcsw, Llc 9251 Russell Way Thornton CO 80229-7632 Ph: (720) 316-6276 |
| NPI Number | 1043069941 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043069941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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