Provider Demographics
NPI:1669920781
Name:FIFE, ANNA (LPC, LPCC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:FIFE
Suffix:
Gender:
Credentials:LPC, LPCC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:SHAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8327 DOE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2871
Mailing Address - Country:US
Mailing Address - Phone:713-876-2078
Mailing Address - Fax:
Practice Address - Street 1:8327 DOE MEADOW DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-2871
Practice Address - Country:US
Practice Address - Phone:713-876-2078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-18
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12247101YP2500X
COLPC.0016494101YP2500X
TX70327101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12247OtherLPCC LICENSE
COLPC.0016494OtherLPC LICENSE