Healthcare Provider Details

I. General information

NPI: 1568391217
Provider Name (Legal Business Name): REBECCA JANE WILLIAMSON ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA BUCHANAN WILLIAMSON ALC

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 RICHARD ARRINGTON JR BLVD S
BIRMINGHAM AL
35209-1256
US

IV. Provider business mailing address

2129 RICHARD ARRINGTON JR BLVD S
BIRMINGHAM AL
35209-1256
US

V. Phone/Fax

Practice location:
  • Phone: 205-914-9017
  • Fax:
Mailing address:
  • Phone: 205-914-9017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05850
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: