Provider Demographics
NPI:1801036645
Name:ANNE L. HENRY LPC, COUNSELING LLC
Entity Type:Organization
Organization Name:ANNE L. HENRY LPC, COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-250-5244
Mailing Address - Street 1:101 E 9TH AVE
Mailing Address - Street 2:#5AA
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3618
Mailing Address - Country:US
Mailing Address - Phone:907-250-5244
Mailing Address - Fax:
Practice Address - Street 1:101 E 9TH AVE
Practice Address - Street 2:#5A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3618
Practice Address - Country:US
Practice Address - Phone:907-250-5244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health