Healthcare Provider Details

I. General information

NPI: 1649926304
Provider Name (Legal Business Name): TURLIENNA OCEANA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date: 08/04/2025
Reactivation Date: 08/31/2026

III. Provider practice location address

1921 CARLISLE BLVD NE STE A
ALBUQUERQUE NM
87110-4971
US

IV. Provider business mailing address

6308 CALLE ZANATE
SANTA FE NM
87507-3472
US

V. Phone/Fax

Practice location:
  • Phone: 505-750-4243
  • Fax:
Mailing address:
  • Phone: 505-603-7739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWB-2026-1154
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: