Provider Demographics
NPI:1144794017
Name:ANXIETY CENTER OF ANNAPOLIS, LLC
Entity type:Organization
Organization Name:ANXIETY CENTER OF ANNAPOLIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROVNAK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:540-808-7006
Mailing Address - Street 1:647 RIDGELY AVE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1069
Mailing Address - Country:US
Mailing Address - Phone:540-808-7006
Mailing Address - Fax:410-989-5522
Practice Address - Street 1:647 RIDGELY AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1069
Practice Address - Country:US
Practice Address - Phone:540-808-7006
Practice Address - Fax:410-989-5522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty