Provider Demographics
NPI:1962803478
Name:WOOLLEY, ANNA MARIE (MSSA, LSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:WOOLLEY
Suffix:
Gender:F
Credentials:MSSA, LSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:GIBBONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSSA, LSW
Mailing Address - Street 1:1946 N. 13TH STREET
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7264
Mailing Address - Country:US
Mailing Address - Phone:419-720-9247
Mailing Address - Fax:419-725-2721
Practice Address - Street 1:1946 N. 13TH STREET
Practice Address - Street 2:SUITE 420
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604
Practice Address - Country:US
Practice Address - Phone:419-720-9247
Practice Address - Fax:419-725-2721
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health