Provider Demographics
NPI:1225016090
Name:TODD, ANNE JUDITH (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:JUDITH
Last Name:TODD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:ANNE
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13216 SHADBERRY LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-2717
Mailing Address - Country:US
Mailing Address - Phone:727-919-2607
Mailing Address - Fax:
Practice Address - Street 1:13216 SHADBERRY LN
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-2717
Practice Address - Country:US
Practice Address - Phone:727-919-2607
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health