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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