MEDICARE: MS. ANA MARIA PEANA 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
1	101YM0800X	Mental Health Counselor	MH9059	FL

General Provider Information

NPI Number	:	1245868215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANA MARIA PEANA LMHC

Provider Business Mailing Address
First Line	:	301 N 13TH AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-1011
Country	:	US
Telephone Number	:	954-882-1332
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 NW 17TH AVE
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-2814
Country	:	US
Telephone Number	:	954-977-8380
Fax Number	:

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

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	10/18/2023

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