Maijah Mackenzie Williams

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3606 N Rancho Dr
Suite 142
Las Vegas, NV 89130-3195

Phone

(702) 778-5300

Fax

(702) 778-5301

NPI assigned

Nov 8, 2012

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearwaters Family Guidance and Wellness Centers LLC

  dba ClearWaters Family Guidance and Wellness Centers

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1730489154
  NPD (past)
• Clearwaters Family Guidance and Wellness Centers,LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1326482514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1265786420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR",
            "address_2": "SUITE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303195",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR",
            "address_2": "SUITE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303195",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MAIJAH",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loriel Williams
• Lynnora Williams
• Macholica Elisa Williams, LMSW
• Magnolia Williams
• Maharlika Williams
• Makayla Williams
• Malachi Williams
• Mallory Williams
• Mamie F Williams
• Marcus Williams

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.