Provider Demographics
NPI:1396560215
Name:BEVINS, ANNA LOU (LPCA, LCADC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LOU
Last Name:BEVINS
Suffix:
Gender:F
Credentials:LPCA, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 LOWER POMPEY RD
Mailing Address - Street 2:
Mailing Address - City:SHELBIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41562-8153
Mailing Address - Country:US
Mailing Address - Phone:606-471-9223
Mailing Address - Fax:
Practice Address - Street 1:5971 POOR BOTTOM RD
Practice Address - Street 2:
Practice Address - City:ELKHORN CITY
Practice Address - State:KY
Practice Address - Zip Code:41522-8150
Practice Address - Country:US
Practice Address - Phone:606-772-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional