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Organization

ANITA LOUISE LENAS LCSW INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA LOUISE LENAS LCSW (OWNER PRESIDENT)
(727) 322-6123
Entity
Organization

Contact information

Practice address
5348 1ST AVE N, ST PETERSBURG, FL 33710-8106
(727) 322-6123
(727) 322-6143
Mailing address
PO BOX 47918, ST PETERSBURG, FL 33743-7918
(727) 322-6123
(727) 322-6143

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4402
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216094
COMPSYCH
FL
05
685126679
FL
01
FL1837
BRADMAN NETWORK
FL
01
Z031D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/13/2005
Last updated
12/19/2008
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