Provider Demographics
NPI:1407598147
Name:STEADHAM-WILLIAMS, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STEADHAM-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 CLUBHOUSE DR APT CC2
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3428
Mailing Address - Country:US
Mailing Address - Phone:251-978-8445
Mailing Address - Fax:
Practice Address - Street 1:901 COMMERCE DR STE 1A
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-2834
Practice Address - Country:US
Practice Address - Phone:256-517-9277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-21-55851103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst