Provider Demographics
NPI:1205903572
Name:ANICAMA, DEBORAH S (MED, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:S
Last Name:ANICAMA
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5441 N. UNIVERSITY DRIVE, SUITE 102
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4651
Mailing Address - Country:US
Mailing Address - Phone:954-415-6539
Mailing Address - Fax:954-340-0441
Practice Address - Street 1:5441 N. UNIVERSITY DRIVE, SUITE 102
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4651
Practice Address - Country:US
Practice Address - Phone:954-415-6539
Practice Address - Fax:954-340-0441
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6834106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist