Provider Demographics
NPI:1013099274
Name:ANENBERG, JOSEPH SCOTT (MA; LPC-S)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SCOTT
Last Name:ANENBERG
Suffix:
Gender:M
Credentials:MA; LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 RICHMOND AVE
Mailing Address - Street 2:SUITE 425
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3188
Mailing Address - Country:US
Mailing Address - Phone:281-536-5461
Mailing Address - Fax:
Practice Address - Street 1:2211 NORFOLK ST STE 740
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4062
Practice Address - Country:US
Practice Address - Phone:281-536-5461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18106101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional