| Ansley Beverly, Llc | |
|
9143 Harvest Rdg Fairhope AL 36532-7637 | |
| (251) 308-0100 | |
| Not Available |
| Full Name | Ansley Beverly, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9143 Harvest Rdg, Fairhope, Alabama |
| Authorized Official Name and Position | Ansley Hanson Beverly (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2513080100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ansley Beverly, Llc 9143 Harvest Rdg Fairhope AL 36532-7637 Ph: (251) 308-0100 | Ansley Beverly, Llc 9143 Harvest Rdg Fairhope AL 36532-7637 Ph: (251) 308-0100 |
| NPI Number | 1548954563 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548954563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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