Healthcare Provider Details

I. General information

NPI: 1619285152
Provider Name (Legal Business Name): NATALIE ANN WILLIAMSON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 CARLISLE BLVD NE
ALBUQUERQUE NM
87107-4806
US

IV. Provider business mailing address

8504 HAWK EYE RD NW
ALBUQUERQUE NM
87120-4316
US

V. Phone/Fax

Practice location:
  • Phone: 505-980-2204
  • Fax:
Mailing address:
  • Phone: 505-980-0224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0130551
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0130551
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: