MEDICARE: ANISSA CHEIKH

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	LGP18015	MD

General Provider Information

NPI Number	:	1578499612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANISSA CHEIKH

Provider Business Mailing Address
First Line	:	2857 SW EAST LOUISE CIR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-4273
Country	:	US
Telephone Number	:	202-430-4370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2857 SW EAST LOUISE CIR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-4273
Country	:	US
Telephone Number	:	202-430-4370
Fax Number	:

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

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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Directions to “ ANISSA CHEIKH ” Practice Location

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