Organization
ANITE B. DESONIA, LMHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA B DESONIA LMHC (MANAGER/PROVIDER)
(850) 851-9498
Entity
Organization
Contact information
Practice address
730 JENKS AVE, PANAMA CITY, FL 32401-2530
(850) 851-9498
(850) 215-6235
Mailing address
730 JENKS AVE, PANAMA CITY, FL 32401-2530
(850) 851-9498
(850) 215-6235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z149B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/31/2019
Last updated
05/31/2019
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