NPI 1811065402 · live from the CMS NPI Registry
Leith D Anania, LMFT
Marriage & Family Therapist in Kingsland, GA. National Provider Identifier 1811065402, active.
NPI record
| NPI | 1811065402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 694 E William Ave, Suite 2, Kingsland, GA 31548 |
| Practice phone | 912-674-0872 |
| Mailing address | 100 Renee Dr, Kingsland, GA 31548 |
| Enumerated | December 1, 2006 |
| Last updated | July 22, 2008 |
| Sole proprietor | Yes |
| Other names | Leith Davenport |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT000906 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.