Provider Demographics
NPI:1598058240
Name:ANIAPAM, PATRICIA LUCAS (CADC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LUCAS
Last Name:ANIAPAM
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-4749
Mailing Address - Country:US
Mailing Address - Phone:313-418-7640
Mailing Address - Fax:313-894-7460
Practice Address - Street 1:9044 LA SALLE BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48206-2021
Practice Address - Country:US
Practice Address - Phone:313-418-7640
Practice Address - Fax:313-879-7460
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health