Provider Demographics
NPI:1528113610
Name:PINSON, ANITA (LPC, RPT)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:
Last Name:PINSON
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 LOWELL WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:LINN CREEK
Mailing Address - State:MO
Mailing Address - Zip Code:65052-1851
Mailing Address - Country:US
Mailing Address - Phone:573-346-1180
Mailing Address - Fax:
Practice Address - Street 1:326 LOWELL WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:LINN CREEK
Practice Address - State:MO
Practice Address - Zip Code:65052-1851
Practice Address - Country:US
Practice Address - Phone:573-480-4225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003031289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional