Healthcare Provider Details

I. General information

NPI: 1225954852
Provider Name (Legal Business Name): ANTHONY FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 CLAY ST
MONTGOMERY AL
36104-3367
US

IV. Provider business mailing address

550 CLAY ST
MONTGOMERY AL
36104-3367
US

V. Phone/Fax

Practice location:
  • Phone: 334-220-2321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOREY ANTHONY
Title or Position: OWNER
Credential:
Phone: 334-220-2321