Richardson, Avory Mcwilliams

Richardson, Avory Mcwilliams is an individual health care provider with primary practice located at 5750A Southland Dr , Mobile AL 36693-3316. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Richardson, Avory Mcwilliams can be contacted via phone (251) 662-7317.

Contact Information

Primary practice address
5750A Southland Dr Mobile AL 36693-3316
Phone: (251) 662-7317
Fax: (251) 662-7297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4026 Alabama

Profile Details

NPI number 1962539387
LBN Legal business name Richardson, Avory Mcwilliams
Credentials BS, MSCE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Feb 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962539387 NPPES
Mississippi MEDICAID 00018214

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