Provider Demographics
NPI:1144337601
Name:GRIGSBY, ANNA FELECIA (MS)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:FELECIA
Last Name:GRIGSBY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 STERLINGTON RD APT 43
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2565
Mailing Address - Country:US
Mailing Address - Phone:318-436-1086
Mailing Address - Fax:
Practice Address - Street 1:2913 DESAIRD RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203
Practice Address - Country:US
Practice Address - Phone:318-362-4213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)