Organization
NAMACRAY INNER WELLNESS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA WILLIAMSON PMHNP-C (ADMINISTRATOR)
(989) 370-9157
Entity
Organization
Contact information
Practice address
400 W MAIN ST STE 208, GAYLORD, MI 49735-1876
(989) 370-9157
(888) 692-8456
Mailing address
3813 DEER TRL, GAYLORD, MI 49735-8539
(989) 464-0714
(989) 448-2421
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/02/2024
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