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Organization
ANNA FORD SMITH ART THERAPY, LLC
Active
Organization
ANNA FORD SMITH ART THERAPY, LLC
Active
Other names
Roots and Wings Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA FORD SMITH LPC, ATR-BC (OWNER/THERAPIST)
(256) 715-2356
Entity
Organization
Contact information
Practice address
303 WILLIAMS AVE SW STE 221, HUNTSVILLE, AL 35801-6001
(256) 715-2356
Mailing address
303 WILLIAMS AVE SW STE 221, HUNTSVILLE, AL 35801-6001
(256) 715-2356
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073097911
—
AL
05
—
1356608350
—
AL
Enumeration date
02/08/2019
Last updated
02/08/2019
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