Healthcare Provider Details

I. General information

NPI: 1588958953
Provider Name (Legal Business Name): MICHAEL RHODES WILLIAMS M.DIV, M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2011
Last Update Date: 06/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 METROPLEX DR SUITE 150
BIRMINGHAM AL
35209-6893
US

IV. Provider business mailing address

1 METROPLEX DR SUITE 150
BIRMINGHAM AL
35209-6893
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-9767
  • Fax: 205-877-9768
Mailing address:
  • Phone: 205-877-9767
  • Fax: 205-877-9768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: