Leontyne Gulley Williams, MFTA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A202 Issued in AL

Practice address

566 Blackberry GLN
Springville, AL 35146-4255

Phone

(205) 587-7040

NPI assigned

Jan 25, 2019

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

Other identifiers 2

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.

• Deprece Supportive Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Paul, TX
  • NPI 1043802325
  NPD Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1477017366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 BLACKBERRY GLN",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351464255",
            "telephone_number": "205-587-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 BLACKBERRY GLN",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351464255",
            "telephone_number": "205-587-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LEONTYNE",
        "middle_name": "GULLEY",
        "credential": "MFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "A202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA DEPARTMENT OF HUMAN RESOURCES",
            "identifier": "32062211",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA DEPARTMENT OF HUMAN RESOURCES",
            "identifier": "32060768",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triune Chiropractic LLC
• Melissa Tuanama, CRNP
• Vision Alabama LLC
• Wal-Mart Stores East LP
• Wallflower Holistic Therapy LLC
• Paige Alexandria Williams, FNP
• Walter W Wilson, M.D.
• Matthew Joseph Woomer, D.C
• Laura Wynn

• All providers in Springville, AL
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.