Provider Demographics
NPI:1558565440
Name:WILLIAMS, LUCILE T (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LUCILE
Middle Name:T
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 COTTAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-2829
Mailing Address - Country:US
Mailing Address - Phone:251-776-1217
Mailing Address - Fax:251-776-1219
Practice Address - Street 1:PO BOX 850818
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36685-0818
Practice Address - Country:US
Practice Address - Phone:251-776-1217
Practice Address - Fax:251-776-1219
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51072454OtherBCBS OF AL