Provider Demographics
NPI:1598059537
Name:ANYIAM, EMEKA OBI (LMFT)
Entity Type:Individual
Prefix:DR
First Name:EMEKA
Middle Name:OBI
Last Name:ANYIAM
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S. BEACH STREET, SUITE 310
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114
Mailing Address - Country:US
Mailing Address - Phone:386-747-6541
Mailing Address - Fax:866-401-6150
Practice Address - Street 1:140 S. BEACH STREET, SUITE 310
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114
Practice Address - Country:US
Practice Address - Phone:386-747-6541
Practice Address - Fax:866-401-6150
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2442106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist