Provider Demographics
NPI:1316723323
Name:BRACHEY, ANNA (EDS, NCC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:BRACHEY
Suffix:
Gender:F
Credentials:EDS, NCC
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:HOLLOMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:927 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4832
Mailing Address - Country:US
Mailing Address - Phone:678-862-8966
Mailing Address - Fax:
Practice Address - Street 1:927 3RD AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4832
Practice Address - Country:US
Practice Address - Phone:678-862-8966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health