Provider Demographics
NPI:1154603827
Name:DEEDS, ANNA (LPC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:DEEDS
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 1:140 NORTH BEESON AVENUE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2937
Mailing Address - Country:US
Mailing Address - Phone:724-812-9895
Mailing Address - Fax:888-736-7461
Practice Address - Street 1:140 NORTH BEESON AVENUE
Practice Address - Street 2:SUITE 401
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2937
Practice Address - Country:US
Practice Address - Phone:724-812-9895
Practice Address - Fax:888-736-7461
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005996101YA0400X, 101YM0800X, 101YP2500X, 101YP2500X
101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028764520001Medicaid