Provider Demographics
NPI:1982652434
Name:ATKIN, ANNE MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:ATKIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 CHEROKEE DR
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-4525
Mailing Address - Country:US
Mailing Address - Phone:850-539-1314
Mailing Address - Fax:850-539-1314
Practice Address - Street 1:2014 DELTA BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-4853
Practice Address - Country:US
Practice Address - Phone:850-539-1314
Practice Address - Fax:850-539-1314
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8572OtherBCBS PIN