Provider Demographics
NPI:1801527601
Name:WILLIAMS, BRITTANY MONTEIL (CPSW)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:MONTEIL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CPSW
Other - Prefix:MISS
Other - First Name:B.
Other - Middle Name:MONTEIL
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPSW
Mailing Address - Street 1:1575 VALLEY VISTA CT SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2862
Mailing Address - Country:US
Mailing Address - Phone:505-900-5997
Mailing Address - Fax:
Practice Address - Street 1:1575 VALLEY VISTA CT SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2862
Practice Address - Country:US
Practice Address - Phone:505-900-5997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1375101YA0400X, 175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)