LUCRETIA MICHELLE WILLIAMS SOUTHALL NPI 1306660469

NPI Information

  • NPI: 1306660469
  • Provider Name: LUCRETIA MICHELLE WILLIAMS SOUTHALL
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 7941 CASTLEWAY DR
    INDIANAPOLIS, IN
    ZIP 46250
  • Phone: (317) 430-5335

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NPI Details

Lucretia Michelle Williams Southall is a mental health counselor in Indianapolis, IN. Lucretia Michelle Williams Southall NPI is 1306660469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7941 CASTLEWAY DR
INDIANAPOLIS, IN
ZIP 46250-953
Phone: (317) 430-5335

The enumeration date for this NPI number is 11/14/2024 and was last updated on 11/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health108841176TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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