Provider Demographics
NPI:1588397608
Name:WILLIAMS, ERRICA (MPH, LMSW)
Entity type:Individual
Prefix:
First Name:ERRICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MPH, LMSW
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 667
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-0667
Mailing Address - Country:US
Mailing Address - Phone:205-229-6160
Mailing Address - Fax:
Practice Address - Street 1:200 CHASE PARK S STE 102
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1884
Practice Address - Country:US
Practice Address - Phone:205-440-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5891G101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health