Healthcare Provider Details

I. General information

NPI: 1184555906
Provider Name (Legal Business Name): JOEY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8680 PINE DR
BEULAH CO
81023-9717
US

IV. Provider business mailing address

8680 PINE DR
BEULAH CO
81023-9717
US

V. Phone/Fax

Practice location:
  • Phone: 719-250-1121
  • Fax:
Mailing address:
  • Phone: 719-250-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: