Organization
ANNA H WILSON, LICSW, PIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA H WILSON LICSW, PIP (SOLE OWNER AND OPERATOR)
(205) 616-9953
Entity
Organization
Contact information
Practice address
4268 CAHABA HEIGHTS CT STE 132, VESTAVIA, AL 35243-5737
(205) 616-9953
Mailing address
3050 TERESA AVE, HUEYTOWN, AL 35023-3043
(205) 616-9953
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922024064
NPI
—
Enumeration date
12/13/2021
Last updated
12/13/2021
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