Provider Demographics
NPI:1548496144
Name:WILLIAMS, VICTOR (LPC)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8349 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-2168
Mailing Address - Country:US
Mailing Address - Phone:205-699-4781
Mailing Address - Fax:205-699-2148
Practice Address - Street 1:8349 1ST AVE
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:AL
Practice Address - Zip Code:35094-2168
Practice Address - Country:US
Practice Address - Phone:205-699-4781
Practice Address - Fax:205-699-2148
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2130101YP2500X
GALPC003819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional