Provider Demographics
NPI:1518311711
Name:KILINSKI, ANNMARIE
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:KILINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2049 POLO GARDENS DR
Mailing Address - Street 2:APT. # 5-208
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8099
Mailing Address - Country:US
Mailing Address - Phone:561-329-5788
Mailing Address - Fax:
Practice Address - Street 1:2049 POLO GARDENS DR
Practice Address - Street 2:APT. # 5-208
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8099
Practice Address - Country:US
Practice Address - Phone:561-329-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health