Provider Demographics
NPI:1336241884
Name:CHANEY, ANNA CLARE BUIE (PHD, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:ANNA CLARE
Middle Name:BUIE
Last Name:CHANEY
Suffix:
Gender:F
Credentials:PHD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7557 RAMBLER RD
Mailing Address - Street 2:700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4142
Mailing Address - Country:US
Mailing Address - Phone:214-906-4869
Mailing Address - Fax:214-368-1188
Practice Address - Street 1:7557 RAMBLER RD
Practice Address - Street 2:700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4142
Practice Address - Country:US
Practice Address - Phone:214-906-4869
Practice Address - Fax:214-368-1188
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9903101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1660LCOtherBLUE CROSS BLUE SHIELD TX