Healthcare Provider Details

I. General information

NPI: 1104465020
Provider Name (Legal Business Name): ANEWU COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 12/23/2019
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 SARATOGA INLET DR
ORLANDO FL
32829-8376
US

IV. Provider business mailing address

8501 SARATOGA INLET DR
ORLANDO FL
32829-8376
US

V. Phone/Fax

Practice location:
  • Phone: 407-706-7162
  • Fax: 321-270-9645
Mailing address:
  • Phone: 407-706-7162
  • Fax: 321-270-9645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. STEPHANIE RIVERA-VELAZQUEZ
Title or Position: OWNER & THERAPIST
Credential: MA, NCC, LMHC, LMFT
Phone: 407-706-7162