Healthcare Provider Details

I. General information

NPI: 1952235236
Provider Name (Legal Business Name): GENEVIEVE WILLIAMSON MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 OLD PECOS TRL STE B
SANTA FE NM
87505-4787
US

IV. Provider business mailing address

1800 OLD PECOS TRL STE B
SANTA FE NM
87505-4787
US

V. Phone/Fax

Practice location:
  • Phone: 505-580-8570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GENEVIEVE ANNE WILLIAMSON
Title or Position: MEMBER OWNER
Credential: MD
Phone: 505-580-8570