Provider Demographics
NPI:1902345499
Name:POPE-CONEY, ANISE PAULETTE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANISE
Middle Name:PAULETTE
Last Name:POPE-CONEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ANISE
Other - Middle Name:PAULETTE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:228 EASTON RD APT C109
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-3118
Mailing Address - Country:US
Mailing Address - Phone:267-456-9224
Mailing Address - Fax:
Practice Address - Street 1:1690 BIG OAK RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-6421
Practice Address - Country:US
Practice Address - Phone:215-493-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009433101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional