Provider Demographics
NPI:1881006757
Name:ANSITZ INC
Entity Type:Organization
Organization Name:ANSITZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:SITZMANN-HEDGES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-858-3488
Mailing Address - Street 1:4530 SOUTH BERKELEY LAKE RD.
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071
Mailing Address - Country:US
Mailing Address - Phone:678-858-3488
Mailing Address - Fax:770-446-5642
Practice Address - Street 1:4530 S BERKELEY LAKE RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071
Practice Address - Country:US
Practice Address - Phone:678-858-3488
Practice Address - Fax:770-446-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0051421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty