Provider Demographics
NPI:1013050376
Name:WINSLETT, CLIFTON R (M ED, LPC)
Entity Type:Individual
Prefix:MR
First Name:CLIFTON
Middle Name:R
Last Name:WINSLETT
Suffix:
Gender:M
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 OLD LOKEY FERRY RD
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35186-8104
Mailing Address - Country:US
Mailing Address - Phone:205-669-3225
Mailing Address - Fax:205-669-5259
Practice Address - Street 1:4984 MEADOW BROOK RD
Practice Address - Street 2:MEADOW BROOK BAPTIST CHURCH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-3133
Practice Address - Country:US
Practice Address - Phone:205-669-3225
Practice Address - Fax:205-669-5259
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL14145OtherBLUE CROSS BLUE SHIELD
AL51099685OtherBCBS ABBM COLUMBIANA
AL51099686OtherBCBS ABBM SYLACAUGA
AL51099684OtherBCBS ABBM MEADOWBROOK
AL7747363OtherAETNA
ALA0090OtherU.S. POSTAL SERVICE EAP
AL51514145WINOtherBCBS MEADOWBROOK