Orlinda Williams, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Supai, AZ
NPI 1235545302 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1235545302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4004 (NM)
- Practice address
- 1 Main Street
Supai, AZ 86435-0129 - Phone
- (928) 448-2641
- Fax
- (928) 448-2312
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4004 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4004 | NM | Yes |
Addresses
Primary practice location
1 Main Street
Supai, AZ 86435-0129
Mailing address
PO Box 4391
Gallup, NM 87305-4391
Phone (928) 514-4715
Other providers in Supai, AZ
- Sylvia Armstrong
- Ashley Pullon Daye
- DHHS IHS Phoenix
- Havasupai Tribe Head Start
- Indian Health Service
All providers in Supai, AZ · Addiction (Substance Use Disorder) Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.