Provider Demographics
NPI:1649706466
Name:CIULLA, ANNA (LMHC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CIULLA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:CIULLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:13211 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2222
Mailing Address - Country:US
Mailing Address - Phone:561-337-3200
Mailing Address - Fax:
Practice Address - Street 1:13211 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2222
Practice Address - Country:US
Practice Address - Phone:561-337-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND3576133V00000X
FLMH10931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered