Adezza Dubose-Williams, LPC 05066

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3978A Issued in AL

Practice address

2231 Victory LN Ste 700
Hoover, AL 35216-6302

Phone

(205) 552-2370

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iman Healing Journey LLC

  • Mental Health Counselor
  • Homewood, AL
  • NPI 1760258065
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1013661206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 VICTORY LN STE 700",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352166302",
            "telephone_number": "205-552-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 VICTORY LN STE 700",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352166302",
            "telephone_number": "205-552-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 21st Street Ensley",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352182963",
            "country_code": "US",
            "telephone_number": "205-261-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOSE-WILLIAMS",
        "first_name": "ADEZZA",
        "credential": "LPC 05066",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3978A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy-Alabama, LLC
• Drill and Chill Dental Company LLC
• DRS. Koslin & Kahn, P.C.
• Felix Duarte Jr., OD
• Michael Alexander Dubuc, DMD
• Brian Paul Dudgeon, M.D.
• Mikaylah Reshea Dugans
• Jahzmin Duncan, M.ED, ALC
• Taylor Duncan, DMD

• Mental Health Counselor in Hoover, AL
• Providers in Hoover, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.