Healthcare Provider Details

I. General information

NPI: 1225946304
Provider Name (Legal Business Name): ANNA KLIPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 ROBERTS AVE
YORK SC
29745-1303
US

IV. Provider business mailing address

116 ROBERTS AVE
YORK SC
29745-1303
US

V. Phone/Fax

Practice location:
  • Phone: 803-847-1006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12272
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: