Provider Demographics
NPI:1508233990
Name:ANNA MARSHALL COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ANNA MARSHALL COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:O
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-393-2867
Mailing Address - Street 1:1331 MARTIN RD E
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-7246
Mailing Address - Country:US
Mailing Address - Phone:205-393-2867
Mailing Address - Fax:
Practice Address - Street 1:720 ENERGY CENTER BLVD STE 502
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-2794
Practice Address - Country:US
Practice Address - Phone:205-393-2867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3321251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health