1124257498 NPI number — L WILLIAMS AND ASSOCIATES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124257498 NPI number — L WILLIAMS AND ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
L WILLIAMS AND ASSOCIATES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124257498
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3682
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUEYTOWN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35023-0682
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-910-8762
Provider Business Mailing Address Fax Number:
205-426-0422

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 20TH ST N
Provider Second Line Business Practice Location Address:
SUITE 822
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35203-3609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-910-8762
Provider Business Practice Location Address Fax Number:
205-426-0422
Provider Enumeration Date:
07/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
LAVORIS
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
205-910-8762

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  2589 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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