Provider Demographics
NPI:1396310553
Name:ANELAS HOLISTIC COUNSELING PLLC
Entity type:Organization
Organization Name:ANELAS HOLISTIC COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-214-6221
Mailing Address - Street 1:2003 PLANK RD # 1035
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5103
Mailing Address - Country:US
Mailing Address - Phone:804-214-6221
Mailing Address - Fax:877-880-5714
Practice Address - Street 1:10424 CREEKSIDE CT APT 204
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8255
Practice Address - Country:US
Practice Address - Phone:804-214-6221
Practice Address - Fax:877-880-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty