Provider Demographics
NPI:1467664508
Name:STIMMEL, ANNE HEINLAIN (MA, LICDC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:HEINLAIN
Last Name:STIMMEL
Suffix:
Gender:F
Credentials:MA, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43912-1107
Mailing Address - Country:US
Mailing Address - Phone:740-283-7867
Mailing Address - Fax:740-283-7853
Practice Address - Street 1:380 SUMMIT AVE
Practice Address - Street 2:BEHAVIORAL MEDICINE 2ND FLOOR
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2667
Practice Address - Country:US
Practice Address - Phone:740-283-7867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH933631101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)