Leith D Anania, LMFT
Individual provider Active NPI Marriage & Family Therapist · Kingsland, GA
NPI 1811065402 · NPPES record last updated Jul 22, 2008
Key facts
- NPI
- 1811065402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT000906 (GA)
- Practice address
- 694 E William Ave
Suite 2
Kingsland, GA 31548-5024 - Phone
- (912) 674-0872
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT000906 | GA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT000906 | GA | Yes |
Addresses
Primary practice location
694 E William Ave
Suite 2
Kingsland, GA 31548-5024
Mailing address
100 Renee Dr
Kingsland, GA 31548-6180
Phone (912) 674-0872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887021585A | Medicaid | GA |
Other names
- Ms. Leith Ann Davenport
Other providers in Kingsland, GA
- Stacy Nicole Alvare
- Amato Chiropractic Clinic
- David Matthew Amato
- Lesa A Amato
- Amelia Medical Services, LLC
- Cheyanne Marie Andersen
- Patricia Anderson
- Rachel Anderson
- Ankle and Foot Assoc, LLC
- Applecare LLC
All providers in Kingsland, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2008. 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.