1578570883 NPI number — MS. ANN MURPHY WILSON BILLIAN M.S.,LPC,CADC II

Table of content: MS. ANN MURPHY WILSON BILLIAN M.S.,LPC,CADC II (NPI 1578570883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578570883 NPI number — MS. ANN MURPHY WILSON BILLIAN M.S.,LPC,CADC II

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BILLIAN
Provider First Name:
ANN
Provider Middle Name:
MURPHY WILSON
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.,LPC,CADC II
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578570883
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3520 BROOKHILL CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30062-1118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-907-5987
Provider Business Mailing Address Fax Number:
678-560-2481

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2854 JOHNSON FERRY RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30062-5699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-907-5987
Provider Business Practice Location Address Fax Number:
678-560-2481
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  1653 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com