Provider Demographics
NPI:1457522062
Name:DEBORAH S. ANICAMA, M. ED., LMHC, P.A.
Entity Type:Organization
Organization Name:DEBORAH S. ANICAMA, M. ED., LMHC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/ PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANICAMA
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, LMHC,
Authorized Official - Phone:954-415-6539
Mailing Address - Street 1:5441 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4640
Mailing Address - Country:US
Mailing Address - Phone:954-415-6539
Mailing Address - Fax:954-340-0441
Practice Address - Street 1:5441 N UNIVERSITY DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4640
Practice Address - Country:US
Practice Address - Phone:954-415-6539
Practice Address - Fax:954-340-0441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEBORAH S. ANICAMA, M. ED., LMHC, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-22
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6834101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty