Healthcare Provider Details

I. General information

NPI: 1649706466
Provider Name (Legal Business Name): ANNA CIULLA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA CIULLA RD, LD

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13211 US HIGHWAY 1
JUNO BEACH FL
33408-2222
US

IV. Provider business mailing address

13211 US HIGHWAY 1
JUNO BEACH FL
33408-2222
US

V. Phone/Fax

Practice location:
  • Phone: 561-337-3200
  • Fax:
Mailing address:
  • Phone: 561-337-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND3576
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10931
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: