Provider Demographics
NPI:1659559607
Name:SHIMSKY, ANNE L (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:L
Last Name:SHIMSKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:L
Other - Last Name:KOENIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 LEAKE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-3562
Mailing Address - Country:US
Mailing Address - Phone:770-615-0218
Mailing Address - Fax:
Practice Address - Street 1:200 LEAKE ST STE 106
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3562
Practice Address - Country:US
Practice Address - Phone:770-615-0218
Practice Address - Fax:678-666-4570
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003133101Y00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor