Anna K Bishop

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cartersville, GA

NPI 1265158463 · NPPES record last updated Oct 19, 2022

Key facts

NPI
1265158463
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
T0440 (GA)
Practice address
218 Stonewall St
Cartersville, GA 30120-3628
Phone
(770) 386-1907
Fax
(770) 386-7345
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T0440GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cartersville Center, LLC Past
since Oct 23, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T0440 GA Yes

Addresses

Primary practice location

218 Stonewall St
Cartersville, GA 30120-3628

Mailing address

218 Stonewall St
Cartersville, GA 30120-3628
Phone (770) 386-1907

Other providers in Cartersville, GA

All providers in Cartersville, GA · Addiction (Substance Use Disorder) Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.