Provider Demographics
NPI:1255961652
Name:GIANAKIS, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:GIANAKIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22810 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48082-1739
Mailing Address - Country:US
Mailing Address - Phone:586-506-2662
Mailing Address - Fax:
Practice Address - Street 1:31225 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48082-1301
Practice Address - Country:US
Practice Address - Phone:586-519-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst