Provider Demographics
NPI:1629733050
Name:BISHOP, ANNA THOMAS (MSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:THOMAS
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 59TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-3226
Mailing Address - Country:US
Mailing Address - Phone:205-821-0224
Mailing Address - Fax:205-900-8793
Practice Address - Street 1:3516 VANN RD STE 106
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3276
Practice Address - Country:US
Practice Address - Phone:205-529-9894
Practice Address - Fax:205-900-8793
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5262G101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor