MEDICARE: MONICA WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C2310A	AL

General Provider Information

NPI Number	:	1518316389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA WILLIAMS

Provider Business Mailing Address
First Line	:	3296 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-1653
Country	:	US
Telephone Number	:	205-940-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	3296 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-1653
Country	:	US
Telephone Number	:	205-940-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2016
Last Update Date	:	06/12/2016

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