Basic Information
| Provider Information | |||||||||
| NPI: | 1003294471 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHAT | ||||||||
| FirstName: | ANITA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D.,M.A.,LPCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2216 S MIAMI BLVD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277036281 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198060497 | ||||||||
| FaxNumber: | 8668208694 | ||||||||
| Practice Location | |||||||||
| Address1: | 2216 S MIAMI BLVD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277036281 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198060497 | ||||||||
| FaxNumber: | 8668208694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2015 | ||||||||
| LastUpdateDate: | 05/18/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | A11445 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.