Provider Demographics
NPI:1003317892
Name:DE LIMA, ANNA LISA (PHD, LMHC, NCC, QS)
Entity type:Individual
Prefix:DR
First Name:ANNA LISA
Middle Name:
Last Name:DE LIMA
Suffix:
Gender:F
Credentials:PHD, LMHC, NCC, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 45TH STREET
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3241
Mailing Address - Country:US
Mailing Address - Phone:561-841-1003
Mailing Address - Fax:
Practice Address - Street 1:131 PENNOCK LANDING CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4019
Practice Address - Country:US
Practice Address - Phone:561-201-8209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH15565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health