Healthcare Provider Details

I. General information

NPI: 1891619854
Provider Name (Legal Business Name): ANA VALDEZ MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1071 FOUNDERS BLVD STE D
ATHENS GA
30606-6176
US

IV. Provider business mailing address

2165 S MILLEDGE AVE APT C14
ATHENS GA
30605-6400
US

V. Phone/Fax

Practice location:
  • Phone: 770-365-1477
  • Fax:
Mailing address:
  • Phone: 770-365-1477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: