Organization
ANN PRIDDY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN S. PRIDDY LCSW LMFT (OWNER)
(229) 483-5050
Entity
Organization
Contact information
Practice address
1511 W 3RD AVE, SUITE 104, ALBANY, GA 31707-3695
(229) 483-5050
(229) 485-1103
Mailing address
1511 W 3RD AVE, SUITE 104, ALBANY, GA 31707-3695
(229) 483-5050
(229) 485-1103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW001337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982688198
INDIVIDUAL NPI NUMBER
GA
05
—
899829779A
—
GA
Enumeration date
05/20/2012
Last updated
06/11/2012
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