Provider Demographics
NPI:1689230120
Name:KEITH O. WILLIAMS & ASSOCIATES
Entity Type:Organization
Organization Name:KEITH O. WILLIAMS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED COUNSELING PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-203-5303
Mailing Address - Street 1:209 20TH ST N # 95
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3601
Mailing Address - Country:US
Mailing Address - Phone:205-203-5303
Mailing Address - Fax:
Practice Address - Street 1:456 KAPPA AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3322
Practice Address - Country:US
Practice Address - Phone:205-578-2037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty