Provider Demographics
NPI:1326813726
Name:HARRISON, ANNSLEY (LMFTA)
Entity Type:Individual
Prefix:
First Name:ANNSLEY
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 NUWAY CIR # A
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-9537
Mailing Address - Country:US
Mailing Address - Phone:704-913-3404
Mailing Address - Fax:
Practice Address - Street 1:407 MULBERRY ST SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5722
Practice Address - Country:US
Practice Address - Phone:828-394-6722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20049A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist