Provider Demographics
NPI:1144787953
Name:FOSHEE, AMELIA LEE (MS, ALC)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:LEE
Last Name:FOSHEE
Suffix:
Gender:F
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2611
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2611
Mailing Address - Country:US
Mailing Address - Phone:334-750-1880
Mailing Address - Fax:256-676-2324
Practice Address - Street 1:506 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1255
Practice Address - Country:US
Practice Address - Phone:334-750-1880
Practice Address - Fax:256-676-2324
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2863A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor