Provider Demographics
NPI:1134611536
Name:MCLEOD, WILLIAM (LPC, NCAC-II)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:LPC, NCAC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2757 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-4375
Mailing Address - Country:US
Mailing Address - Phone:470-343-3673
Mailing Address - Fax:
Practice Address - Street 1:190 CAMDEN HILL RD STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-2448
Practice Address - Country:US
Practice Address - Phone:470-343-3673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional