Provider Demographics
NPI:1013774025
Name:GILMER, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:GILMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHER
Other - Middle Name:
Other - Last Name:GILMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:181 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1406
Mailing Address - Country:US
Mailing Address - Phone:504-312-3794
Mailing Address - Fax:
Practice Address - Street 1:24 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1323
Practice Address - Country:US
Practice Address - Phone:504-312-3792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health