Theo Atlas Fontenot
Social Worker in Williston, ND. Individual provider (NPI-1).
NPI number1679200638
StatusActive
Last updated in NPPESNov 10, 2026
Details
- NPI
- 1679200638
- Entity type
- Individual (NPI-1)
- Name
- Theo Atlas Fontenot
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2022
- Certification date
- Nov 10, 2026
- Last updated
- Nov 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 7259 | ND | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 247200000X | Technician, Other | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Other names
- Lindsey Marie O'Neal (Former Name)
Practice location
3001 Harvest Hills Dr Apt 315Williston, ND 58801-2670
Phone 701-705-0868
Mailing address
3001 Harvest Hills Dr Apt 315Williston, ND 58801-2670
Phone 701-705-0868
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All 46 Social Worker providers in Williston · All 819 providers in Williston
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