CONNIE L ANDERSON (NPI# 1962976613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962976613 |
| Entity Type | Individual |
| Full Name | CONNIE L ANDERSON |
| Credential | LPC |
| Practice Address |
105 Asbury Cir Ste A Hattiesburg MS 39402-1397 |
| Practice Telephone | 6012647079 |
| Practice Fax Number | 6012967819 |
| Mailing Telephone | 6012647079 |
| Mailing Fax Number | 6012967819 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2346 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487701322 | Connie J Anderson | Nurse Practitioner | 2821 Ne 58th Ave, Portland, OR 97213-3473 | 2007-01-04 |
| 1396841771 | Connie Elaine Anderson | Chiropractor | 3501 S Sterling, Suite D, Independence, MO 64052 | 2006-09-15 |
| 1386651172 | Connie L Anderson | Physician Assistant | 105 N 31st Ave, Ste 102, Omaha, NE 68131-2940 | 2006-08-02 |
| 1962485573 | Connie S. Anderson | Family Medicine | 706 Ekastown Rd, Colonial Clinic, Sarver, PA 16055-9724 | 2005-11-29 |
| 1124012919 | Connie M Anderson | Physician Assistant | 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI 49525-6046 | 2005-09-07 |
| 1073619334 | Connie Anderson | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-09-15 |
| Street Address |
105 ASBURY CIR STE A |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334656 | Shania Barr | Counselor | 33 Bedford Forrest Ln, Hattiesburg, MS 39401-9186 | 2020-07-29 |
| 1013530427 | Anna Kathleen Oglesby | Counselor | 10 Highpointe Dr, Hattiesburg, MS 39402-8248 | 2020-05-20 |
| 1003447020 | Cari Ann Gaunt | Counselor | 220 W Pine St, Hattiesburg, MS 39401-3825 | 2020-01-29 |
| 1245886852 | Camille Elizabeth Bondurant | Counselor | 140 Mayfair Rd Ste 2100, Hattiesburg, MS 39402-1702 | 2019-08-11 |
| 1508359159 | Sabrina James | Counselor | 49 Trillium, Hattiesburg, MS 39402-5511 | 2018-06-08 |
| 1053810572 | Juawice Mccormick | Counselor | 1918 Fuller St, Hattiesburg, MS 39401-7544 | 2018-02-10 |
| 1861898413 | Thomas and Thomas Consulting Group, LLC | Counselor | 721 Hardy St, Hattiesburg, MS 39401-3666 | 2014-11-10 |
| 1275948861 | Healing and Growth Counseling, LLC | Counselor | 1121 Weeping Willow Cir, Hattiesburg, MS 39402-6060 | 2014-06-23 |
| 1801215074 | Julia Sandhaus | Counselor | 71 Acadian Cir, Hattiesburg, MS 39402-7928 | 2014-04-15 |
| 1396176301 | Justin Defee | Counselor | 203 S 40th Ave Ste B, Hattiesburg, MS 39402-1604 | 2013-12-02 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on CONNIE L ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.