Healthcare Provider Details

I. General information

NPI: 1093546871
Provider Name (Legal Business Name): ANNALIS GARRIDO MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 7TH AVE
NEW YORK NY
10001-5012
US

IV. Provider business mailing address

15608 GARDENSIDE LN
TAMPA FL
33624-1818
US

V. Phone/Fax

Practice location:
  • Phone: 646-926-0475
  • Fax:
Mailing address:
  • Phone: 305-904-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: