Anna Nicole Fazio, M.S.
Individual provider Active NPI Mental Health Counselor · Pearland, TX
NPI 1609511963 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1609511963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39246 (TX)
- Practice address
- 3129 Kingsley Dr Ste 840
Pearland, TX 77584-8508 - Phone
- (281) 818-6758
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39246 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anew Psychological Services, PLLC | Current |
Accepting new patients |
Locations
3129 Kingsley Dr
Ste 840
Pearland, TX 77584
Phone (281) 818-6758
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39246 | TX | Yes |
Addresses
Primary practice location
3129 Kingsley Dr Ste 840
Pearland, TX 77584-8508
Mailing address
3129 Kingsley Dr Ste 840
Pearland, TX 77584-8508
Phone (281) 818-6758
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice |
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All providers in Pearland, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.