Provider Demographics
NPI:1255046363
Name:ANAEKWE, AUGUSTINA KELECHI (LMHCA)
Entity type:Individual
Prefix:
First Name:AUGUSTINA
Middle Name:KELECHI
Last Name:ANAEKWE
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1386
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47375-1386
Mailing Address - Country:US
Mailing Address - Phone:765-966-2506
Mailing Address - Fax:765-939-4500
Practice Address - Street 1:2000 WERNLE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-7015
Practice Address - Country:US
Practice Address - Phone:765-939-2506
Practice Address - Fax:765-939-4500
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000932A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health