Provider Demographics
NPI:1063775161
Name:STANLEY, ANNA MORING (NCC, LCAS, LPC, CSI)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MORING
Last Name:STANLEY
Suffix:
Gender:F
Credentials:NCC, LCAS, LPC, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1758 E 11TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-2845
Mailing Address - Country:US
Mailing Address - Phone:919-663-3303
Mailing Address - Fax:919-663-3305
Practice Address - Street 1:1758 E 11TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-2845
Practice Address - Country:US
Practice Address - Phone:919-663-3303
Practice Address - Fax:919-663-3305
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2065101YA0400X
NCA8884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health