# ANSLEY BEVERLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548954563
- **Authorized official:** MRS. ANSLEY HANSON BEVERLY LICSW, PIP (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (251) 308-0100

## Contact information

- **Practice address:** 9143 HARVEST RDG, FAIRHOPE, AL 36532-7637
- **Practice address phone:** (251) 308-0100
- **Mailing address:** 9143 HARVEST RDG, FAIRHOPE, AL 36532-7637
- **Mailing address phone:** (251) 308-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023