Provider Demographics
NPI:1265169338
Name:ANNE KELEMEN, LLC
Entity type:Organization
Organization Name:ANNE KELEMEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER, LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELEMEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:571-235-3238
Mailing Address - Street 1:1702 FOXDALE CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1922
Mailing Address - Country:US
Mailing Address - Phone:571-235-3238
Mailing Address - Fax:
Practice Address - Street 1:1702 FOXDALE CT
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1922
Practice Address - Country:US
Practice Address - Phone:571-235-3238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health