| Anite B. Desonia, Lmhc, Llc | |
|
730 Jenks Ave Panama City FL 32401-2530 | |
| (850) 851-9498 | |
| (850) 215-6235 |
| Full Name | Anite B. Desonia, Lmhc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 730 Jenks Ave, Panama City, Florida |
| Authorized Official Name and Position | Anita B Desonia (MANAGER/PROVIDER) |
| Authorized Official Contact | 8508519498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anite B. Desonia, Lmhc, Llc 730 Jenks Ave Panama City FL 32401-2530 Ph: (850) 851-9498 | Anite B. Desonia, Lmhc, Llc 730 Jenks Ave Panama City FL 32401-2530 Ph: (850) 851-9498 |
| NPI Number | 1215595715 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215595715 | NPI | - | NPPES |
| Z149B | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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