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NPI Code Detail

MEDICARE: ANNA HALLIDAY LMHC

MEDICARE: ANNA HALLIDAY LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor008216NY
2101YM0800XMental Health Counselor
3101YM0800XMental Health CounselorMH15514FL

General Provider Information

NPI Number : 1053772558
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA HALLIDAY LMHC
Provider Business Mailing Address
First Line : 9050 NE 8TH AVE APT 8
Second Line :
City : MIAMI SHORES
State : FL
Zip : 33138-3284
Country : US
Telephone Number : 305-205-3810
Fax Number :
Provider Business Practice Location Address
First Line : 5901 SW 74TH ST STE 412
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-5164
Country : US
Telephone Number : 305-205-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2016
Last Update Date : 06/09/2021

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Directions to “ ANNA HALLIDAY LMHC” Practice Location

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