Provider Demographics
NPI:1164772786
Name:ANEW COUNSELING
Entity Type:Organization
Organization Name:ANEW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:SIBEL
Authorized Official - Middle Name:NESLIN
Authorized Official - Last Name:GUELSEREN
Authorized Official - Suffix:
Authorized Official - Credentials:MED/EDS
Authorized Official - Phone:386-334-3777
Mailing Address - Street 1:50 LEANNI WAY UNIT B3
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4754
Mailing Address - Country:US
Mailing Address - Phone:386-334-3777
Mailing Address - Fax:386-283-5900
Practice Address - Street 1:50 LEANNI WAY UNIT B3
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4754
Practice Address - Country:US
Practice Address - Phone:386-334-3777
Practice Address - Fax:386-283-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2120106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty