Provider Demographics
NPI:1902516784
Name:SHINN, ANNA LEIGH (LPC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LEIGH
Last Name:SHINN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3028
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-0028
Mailing Address - Country:US
Mailing Address - Phone:256-689-5369
Mailing Address - Fax:256-832-9778
Practice Address - Street 1:410 SOUTHSIDE AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5268
Practice Address - Country:US
Practice Address - Phone:256-282-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-01
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL04747101YP2500X
ALLPC04747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional