Provider Demographics
NPI:1962687053
Name:ANNAS RESOURCES, P.C.
Entity Type:Organization
Organization Name:ANNAS RESOURCES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-942-8422
Mailing Address - Street 1:976 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2654
Mailing Address - Country:US
Mailing Address - Phone:919-942-8422
Mailing Address - Fax:919-942-8409
Practice Address - Street 1:976 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:STE 250
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2654
Practice Address - Country:US
Practice Address - Phone:919-942-8422
Practice Address - Fax:919-942-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1105101YA0400X
101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2852210AOtherMEDICARE
NC8300335BMedicaid
NC8300335GMedicaid
NC3408785Medicaid