Provider Demographics
NPI:1427684851
Name:DAVIS, WINNIE LOWE (LPC, RPT, NCC, NBCT)
Entity type:Individual
Prefix:MRS
First Name:WINNIE
Middle Name:LOWE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC, RPT, NCC, NBCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 21ST STREET ENSLEY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35218-2963
Mailing Address - Country:US
Mailing Address - Phone:205-224-4387
Mailing Address - Fax:205-203-4857
Practice Address - Street 1:2008 21ST STREET ENSLEY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218-2963
Practice Address - Country:US
Practice Address - Phone:205-224-4387
Practice Address - Fax:205-203-4857
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional