Provider Demographics
NPI:1871510420
Name:WORTH, ANNE (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:WORTH
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 E UNIVERSITY BLVD
Mailing Address - Street 2:#100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4634
Mailing Address - Country:US
Mailing Address - Phone:214-987-0811
Mailing Address - Fax:
Practice Address - Street 1:6019 E UNIVERSITY BLVD
Practice Address - Street 2:#100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-4634
Practice Address - Country:US
Practice Address - Phone:214-987-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health