Provider Demographics
NPI:1053457309
Name:EVANS, JAMES STEWART (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEWART
Last Name:EVANS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:STEWART
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:3416 DEERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4816
Mailing Address - Country:US
Mailing Address - Phone:205-978-7507
Mailing Address - Fax:
Practice Address - Street 1:300 OFFICE PARK DR
Practice Address - Street 2:SUITE 220
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2474
Practice Address - Country:US
Practice Address - Phone:205-538-3099
Practice Address - Fax:205-538-3099
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51526028OtherBCBS