MEDICARE: ANAIS PICARELLI

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	81020	TX

General Provider Information

NPI Number	:	1447878939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAIS PICARELLI

Provider Business Mailing Address
First Line	:	4527 N LAMAR BLVD APT 4140
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2376
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5453 BURNET RD APT 417
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-1636
Country	:	US
Telephone Number	:	832-516-5148
Fax Number	:

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

Provider Enumeration Date	:	07/10/2020
Last Update Date	:	07/28/2021

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Directions to “ ANAIS PICARELLI ” Practice Location

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