Provider Demographics
NPI:1376976324
Name:GUTIERREZ-HATCH, ANNA RUTH (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:RUTH
Last Name:GUTIERREZ-HATCH
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 1:7837 W SAMPLE RD
Mailing Address - Street 2:SUITE # 125
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4717
Mailing Address - Country:US
Mailing Address - Phone:954-540-1300
Mailing Address - Fax:
Practice Address - Street 1:7837 W SAMPLE RD
Practice Address - Street 2:SUITE # 125
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4717
Practice Address - Country:US
Practice Address - Phone:954-540-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health