Provider Demographics
NPI:1902417215
Name:HUBER, ANNA (MS)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:HUBER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 LONGWOOD DR SW STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4511
Mailing Address - Country:US
Mailing Address - Phone:256-783-7249
Mailing Address - Fax:
Practice Address - Street 1:113 LONGWOOD DR SW STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4511
Practice Address - Country:US
Practice Address - Phone:256-783-7249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3531A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health