Healthcare Provider Details

I. General information

NPI: 1033634555
Provider Name (Legal Business Name): ANEU BEGINNING LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MONARCH DR
RACINE WI
53406-5500
US

IV. Provider business mailing address

3801 MONARCH DR
RACINE WI
53406-5500
US

V. Phone/Fax

Practice location:
  • Phone: 262-497-3445
  • Fax:
Mailing address:
  • Phone: 262-497-3445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAZRIA T PRICE
Title or Position: MENTAL HEALTH/SUBSTANCE ABUSE COUNS
Credential: LPC-IT, SAC-IT
Phone: 262-497-3445