Provider Demographics
NPI:1669066122
Name:ALKHOURY, WILLIAM (MA, LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:ALKHOURY
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 E 5TH ST UNIT 1469
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-5166
Mailing Address - Country:US
Mailing Address - Phone:602-369-5303
Mailing Address - Fax:
Practice Address - Street 1:2402 E 5TH ST UNIT 1469
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-5166
Practice Address - Country:US
Practice Address - Phone:602-369-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health