Provider Demographics
NPI:1649656893
Name:WILLIAMSON, VEL FYLISE (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:VEL
Middle Name:FYLISE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6075 GRELOT RD
Mailing Address - Street 2:APARTMENT 91
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3639
Mailing Address - Country:US
Mailing Address - Phone:251-545-1480
Mailing Address - Fax:
Practice Address - Street 1:1120 HILLCREST RD
Practice Address - Street 2:SUITE 1D
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3968
Practice Address - Country:US
Practice Address - Phone:251-545-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health