Provider Demographics
NPI:1780712554
Name:WINKWORTH, ANNE T (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:T
Last Name:WINKWORTH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 BEECHWOOD HLS
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2414
Mailing Address - Country:US
Mailing Address - Phone:757-874-0584
Mailing Address - Fax:
Practice Address - Street 1:2021 CUNNINGHAM DR
Practice Address - Street 2:SUITE 400
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3375
Practice Address - Country:US
Practice Address - Phone:757-838-1960
Practice Address - Fax:757-838-3280
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health