Healthcare Provider Details

I. General information

NPI: 1992716708
Provider Name (Legal Business Name): JOSAYLON MAY HENRY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOSAYLON LUCAS

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 MEMORIAL PKWY SW
HUNTSVILLE AL
35802-4364
US

IV. Provider business mailing address

4040 MEMORIAL PKWY SW
HUNTSVILLE AL
35802-4364
US

V. Phone/Fax

Practice location:
  • Phone: 256-533-1970
  • Fax: 256-532-4112
Mailing address:
  • Phone: 256-533-1970
  • Fax: 256-532-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number109MLAP
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4806
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: