Provider Demographics
NPI:1407382195
Name:ARMISTEAD, WILLIAM C III (LPC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:C
Last Name:ARMISTEAD
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 824
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-0824
Mailing Address - Country:US
Mailing Address - Phone:205-286-2328
Mailing Address - Fax:
Practice Address - Street 1:229 BROAD ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-3713
Practice Address - Country:US
Practice Address - Phone:205-286-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3640101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health