Mark Ansley, ALC
Individual provider Active NPI Counselor · Ozark, AL
NPI 1427628320 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1427628320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 127 S Court SQ
Ozark, AL 36360-0401 - Phone
- (334) 655-4522
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
127 S Court SQ
Ozark, AL 36360-0401
Mailing address
127 S Court SQ
Ozark, AL 36360-0401
Phone (334) 655-4522
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.