Healthcare Provider Details

I. General information

NPI: 1174241608
Provider Name (Legal Business Name): WILLIAM S POWELL MS, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 11TH AVE S STE 201
BIRMINGHAM AL
35205-2844
US

IV. Provider business mailing address

112 RUNNYMEDE
ALABASTER AL
35114-5458
US

V. Phone/Fax

Practice location:
  • Phone: 205-945-7483
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05489
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: