Healthcare Provider Details

I. General information

NPI: 1073495099
Provider Name (Legal Business Name): ALYSSA G WILLIAMS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SNOW ST STE C
OXFORD AL
36203-5402
US

IV. Provider business mailing address

320 SNOW ST STE C
OXFORD AL
36203-5402
US

V. Phone/Fax

Practice location:
  • Phone: 256-343-4080
  • Fax:
Mailing address:
  • Phone: 256-343-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7064G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: