Healthcare Provider Details

I. General information

NPI: 1174440424
Provider Name (Legal Business Name): ANNELIESE MCCOY-KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 FAIRGROUND RD
FLORENCE AL
35630-1283
US

IV. Provider business mailing address

600 FIRESTONE AVE APT 805
MUSCLE SHOALS AL
35661-1969
US

V. Phone/Fax

Practice location:
  • Phone: 256-712-2822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: