Healthcare Provider Details

I. General information

NPI: 1609796366
Provider Name (Legal Business Name): ANNA GRACE TREXLER MSW, PCMHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 HIGHWAY SOUTH MS 7
OXFORD MS
38655
US

IV. Provider business mailing address

152 HIGHWAY SOUTH MS 7
OXFORD MS
38655
US

V. Phone/Fax

Practice location:
  • Phone: 662-234-7521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: