Provider Demographics
NPI:1386884070
Name:WITTMEIER, JOSEPH S III (LPC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:WITTMEIER
Suffix:III
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:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-0126
Mailing Address - Country:US
Mailing Address - Phone:205-685-0373
Mailing Address - Fax:205-685-0393
Practice Address - Street 1:3156 PELHAM PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-2022
Practice Address - Country:US
Practice Address - Phone:205-685-9535
Practice Address - Fax:205-755-8882
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional