Provider Demographics
NPI:1902499148
Name:PEELER, ANNA GRACE (LPC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:GRACE
Last Name:PEELER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:GRACE
Other - Last Name:CARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5109 MOUNT OLIVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8255
Mailing Address - Country:US
Mailing Address - Phone:309-230-2511
Mailing Address - Fax:
Practice Address - Street 1:5109 MOUNT OLIVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8255
Practice Address - Country:US
Practice Address - Phone:309-230-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health