Provider Demographics
NPI:1003225806
Name:ANANDA, SACHI (PHD, LMHC, MCAP)
Entity Type:Individual
Prefix:DR
First Name:SACHI
Middle Name:
Last Name:ANANDA
Suffix:
Gender:F
Credentials:PHD, LMHC, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BRINY AVE APT 2605
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5669
Mailing Address - Country:US
Mailing Address - Phone:954-788-1566
Mailing Address - Fax:
Practice Address - Street 1:505 S FEDERAL HWY STE 2
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4147
Practice Address - Country:US
Practice Address - Phone:954-880-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC0105022015101YA0400X
FLMH15334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)