Provider Demographics
NPI:1164571378
Name:PEABODY, ANNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:PEABODY
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 1:691 MASSACHUTTS AVE
Mailing Address - Street 2:SUITES 9 &12
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476
Mailing Address - Country:US
Mailing Address - Phone:781-646-7881
Mailing Address - Fax:781-933-0034
Practice Address - Street 1:691 MASSACHUTTS AVE
Practice Address - Street 2:SUITES 9 &12
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476
Practice Address - Country:US
Practice Address - Phone:781-646-7881
Practice Address - Fax:781-933-0034
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104479101YM0800X
MA4359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health