Provider Demographics
NPI:1104955079
Name:PEEPLES, WILLIAM R (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:PEEPLES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 OFFICE PARK DR STE G10
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2481
Mailing Address - Country:US
Mailing Address - Phone:205-879-3102
Mailing Address - Fax:205-930-0132
Practice Address - Street 1:402 OFFICE PARK DR
Practice Address - Street 2:STE G10
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2417
Practice Address - Country:US
Practice Address - Phone:205-879-3102
Practice Address - Fax:205-930-0132
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL234101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL234OtherSTATE LPC LISCENSE