Healthcare Provider Details

I. General information

NPI: 1962352096
Provider Name (Legal Business Name): SHONQUILA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/31/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 COMMERCE ST STE 350
MONTGOMERY AL
36104-3674
US

IV. Provider business mailing address

60 COMMERCE ST STE 350
MONTGOMERY AL
36104-3674
US

V. Phone/Fax

Practice location:
  • Phone: 334-468-6151
  • Fax:
Mailing address:
  • Phone: 334-468-6151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number1-156333
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: