Healthcare Provider Details

I. General information

NPI: 1053695460
Provider Name (Legal Business Name): ANNA MARIA SKIOTIS LMHC LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

794 YORK ST
YORK ME
03909-1265
US

IV. Provider business mailing address

794 YORK ST --
YORK ME
03909-1265
US

V. Phone/Fax

Practice location:
  • Phone: 617-214-1846
  • Fax:
Mailing address:
  • Phone: 617-214-1846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC8897
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12541
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: