Provider Demographics
NPI:1396478392
Name:ANCHEL, DAWN STACEY (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:STACEY
Last Name:ANCHEL
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7566 VIA GRANDE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7510
Mailing Address - Country:US
Mailing Address - Phone:561-329-3871
Mailing Address - Fax:
Practice Address - Street 1:12919 SUNSTONE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6275
Practice Address - Country:US
Practice Address - Phone:561-329-3871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health