Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ADC0105022015 | FL |
Y | 101YM0800X | Mental Health Counselor | MH15334 | FL |
NPI | 1003225806 |
---|---|
Provider Name | Dr. Sachi Ananda |
First Address | Pompano Beach, FL 33062-5669 |
Second Address | Deerfield Beach, FL 33441-4147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 04/04/2020 |