Provider Demographics
NPI:1134683493
Name:ANYA, STEPHANIE C (LCPC)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:C
Last Name:ANYA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ORCHARD TOWNE CT APT 303
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4172
Mailing Address - Country:US
Mailing Address - Phone:240-676-9897
Mailing Address - Fax:
Practice Address - Street 1:7474 GREENWAY CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3596
Practice Address - Country:US
Practice Address - Phone:240-583-1487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC10694101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional