MEDICARE: ANNA DEEDS LPC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	PC005996	PA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor	PC005996	PA
4	101YM0800X	Mental Health Counselor
5	101YP2500X	Professional Counselor	PC005996	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154603827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA DEEDS LPC

Provider Business Mailing Address
First Line	:	140 NORTH BEESON AVENUE
Second Line	:	SUITE 401
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-2937
Country	:	US
Telephone Number	:	724-812-9895
Fax Number	:	888-736-7461

Provider Business Practice Location Address
First Line	:	140 NORTH BEESON AVENUE
Second Line	:	SUITE 401
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-2937
Country	:	US
Telephone Number	:	724-812-9895
Fax Number	:	888-736-7461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	12/22/2020

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Directions to “ ANNA DEEDS LPC” Practice Location

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