| Doctor Name: | DR. WILLIAM ALEXANDER EDMONDS |
| NPI Number: | 1003043142 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, BCIAC |
| License Number: | B 5020 |
| Business Practice Address: | 1750 Ne 167th St North Miami Beach, FL - 331623017 |
| Business Phone Number: | 3053220423 |
| Business Fax Number: | |
| Mailing Address: | Po Box 600568, NORTH MIAMI BEACH |
| State: | FL |
| Postal Code: | 331600568 |
| Phone Number: | 3053220423 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2009 |
| NPI Last Update Date: | 06/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | B 5020 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |