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NPI Code Detail

MEDICARE: DEBORAH ELLEN ANTHONY LMHC

MEDICARE:   DEBORAH ELLEN ANTHONY  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 CounselorMH9332FL

General Provider Information

NPI Number : 1790018919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ELLEN ANTHONY LMHC
Provider Business Mailing Address
First Line : 6000A SAWGRASS VILLAGE CIR STE 6
Second Line :
City : PONTE VEDRA
State : FL
Zip : 32082-5061
Country : US
Telephone Number : 904-200-9945
Fax Number :
Provider Business Practice Location Address
First Line : 836 PRUDENTIAL DR STE 1507
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8342
Country : US
Telephone Number : 904-376-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2009
Last Update Date : 02/16/2026

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Directions to “ DEBORAH ELLEN ANTHONY LMHC” Practice Location

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