Provider Demographics
NPI:1437878147
Name:GARRISON, ANNA T (LCSW-A)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:T
Last Name:GARRISON
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N 35TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3186
Mailing Address - Country:US
Mailing Address - Phone:919-219-4883
Mailing Address - Fax:
Practice Address - Street 1:215 N 35TH ST STE 1
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3186
Practice Address - Country:US
Practice Address - Phone:919-219-4883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0166851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical