Healthcare Provider Details

I. General information

NPI: 1306021399
Provider Name (Legal Business Name): LINDA J WILLIAMS LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 02/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 GRAND AVE STE 107
BILLINGS MT
59102-2762
US

IV. Provider business mailing address

1925 GRAND AVE SUITE 116A
BILLINGS MT
59102-2764
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-5797
  • Fax: 406-294-0967
Mailing address:
  • Phone: 406-248-5797
  • Fax: 406-294-0967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number3LCSW
License Number StateMT

VIII. Authorized Official

Name: LINDA J WILLIAMS
Title or Position: OWNER
Credential: LCSW
Phone: 406-248-5797