Individual
LEONTYNE GULLEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
566 BLACKBERRY GLN, SPRINGVILLE, AL 35146-4255
(205) 587-7040
Mailing address
566 BLACKBERRY GLN, SPRINGVILLE, AL 35146-4255
(205) 587-7040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A202
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32060768
ALABAMA DEPARTMENT OF HUMAN RESOURCES
AL
01
—
32062211
ALABAMA DEPARTMENT OF HUMAN RESOURCES
AL
Enumeration date
01/25/2019
Last updated
01/25/2019
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