Healthcare Provider Details

I. General information

NPI: 1750297768
Provider Name (Legal Business Name): AALIYAH BONITA WILLIAMS LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6313 COVE LN
MC CALLA AL
35111-3492
US

IV. Provider business mailing address

6313 COVE LN
MC CALLA AL
35111-3492
US

V. Phone/Fax

Practice location:
  • Phone: 205-480-9579
  • Fax:
Mailing address:
  • Phone: 205-480-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberA402
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: