Provider Demographics
NPI:1033311006
Name:RIBEIRO, ANITA JULIETA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:JULIETA
Last Name:RIBEIRO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 VIA GENOVA
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8626
Mailing Address - Country:US
Mailing Address - Phone:561-501-8095
Mailing Address - Fax:561-270-0811
Practice Address - Street 1:1700 S DIXIE HWY
Practice Address - Street 2:SUITE 507
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7452
Practice Address - Country:US
Practice Address - Phone:561-501-8095
Practice Address - Fax:561-270-0811
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health