Healthcare Provider Details

I. General information

NPI: 1225722564
Provider Name (Legal Business Name): ANWAR THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 ONEIDA CIR
MARS PA
16046-4042
US

IV. Provider business mailing address

822 ONEIDA CIR
MARS PA
16046-4042
US

V. Phone/Fax

Practice location:
  • Phone: 917-680-2629
  • Fax:
Mailing address:
  • Phone: 917-680-2629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BISMA ANWAR
Title or Position: CEO
Credential: LPC, LMHC
Phone: 917-680-2629