Provider Demographics
NPI:1649955287
Name:MAY, ANNA (LCMHCA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 SIMPSON DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-7020
Mailing Address - Country:US
Mailing Address - Phone:919-352-2070
Mailing Address - Fax:
Practice Address - Street 1:1480 CHAPEL RIDGE RD STE 220
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-8627
Practice Address - Country:US
Practice Address - Phone:919-355-9792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health