Provider Demographics
NPI:1952149049
Name:ANA M. CENTURION, PSY.D., LLC
Entity type:Organization
Organization Name:ANA M. CENTURION, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CENTURION
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-684-3690
Mailing Address - Street 1:PO BOX 141803
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-1803
Mailing Address - Country:US
Mailing Address - Phone:305-684-3690
Mailing Address - Fax:
Practice Address - Street 1:355 SOUND DR
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4676
Practice Address - Country:US
Practice Address - Phone:305-684-3690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)