Provider Demographics
NPI:1720779838
Name:ZIMLICH, ANNSLEY MARIE (MS, ALC)
Entity Type:Individual
Prefix:
First Name:ANNSLEY
Middle Name:MARIE
Last Name:ZIMLICH
Suffix:
Gender:F
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3929 AIRPORT BLVD STE 2-104
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-2237
Mailing Address - Country:US
Mailing Address - Phone:251-384-2382
Mailing Address - Fax:251-343-0120
Practice Address - Street 1:3929 AIRPORT BLVD STE 2-104
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-2237
Practice Address - Country:US
Practice Address - Phone:251-384-2382
Practice Address - Fax:251-343-0120
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health