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Anna Cunningham Ingram

Counselor

Behavioral Health & Social Service Providers

1808 Over Lake Dr SE Ste D, Conyers, GA 30013-6608

PECOS Enrollment

This provider is enrolled in PECOS as ANNA INGRAM.

Based on the most recent information from CMS, provider Anna Cunningham Ingram is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1962036996
Provider Type
Individual
Full Name
Ingram, Anna Cunningham
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/28/2020
Last Updated
11/8/2024

Contact Information

Practice Location

1808 Over Lake Dr SE Ste D, Conyers, GA 30013-6608

(770) 648-1308

Unlisted Fax

Mailing Location

65 Savannah Circle, Covington, Covington, GA 30016

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License LPC011424 Georgia

Anna Cunningham Ingram

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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