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NPI Code Detail

MEDICARE: MAI-ANH ANDERSON LMHC

MEDICARE: MAI-ANH ANDERSON LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor136415IA
2101YM0800XMental Health CounselorLH60779177WA

General Provider Information

NPI Number : 1013454693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAI-ANH ANDERSON LMHC
Provider Business Mailing Address
First Line : 2322 E KIMBERLY RD STE 265N
Second Line :
City : DAVENPORT
State : IA
Zip : 52807-7224
Country : US
Telephone Number : 563-271-3846
Fax Number :
Provider Business Practice Location Address
First Line : 2322 E KIMBERLY RD STE 265N
Second Line :
City : DAVENPORT
State : IA
Zip : 52807-7224
Country : US
Telephone Number : 563-271-3846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2017
Last Update Date : 04/16/2026

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Directions to “ MAI-ANH ANDERSON LMHC” Practice Location

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