Wellformed AI

NPI 1013277623 · live from the CMS NPI Registry

Anodyne Counseling

Counselor, Professional in Moultrie, GA. National Provider Identifier 1013277623, active.

NPI record

NPI1013277623 Type 2 · organization
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location600 1st St Se, Moultrie, GA 31768
Practice phone229-985-8452
EnumeratedMay 17, 2012
Last updatedDecember 6, 2012
Authorized officialC Cox, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700XCSW003604 (GA)
Marriage & Family Therapist106H00000XMFT001144 (GA)
Counselor, Professional primary101YP2500X002205 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.