Provider Demographics
NPI:1528738895
Name:SCHAFER EDWARDS, ANNA (MBA, LMFT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SCHAFER EDWARDS
Suffix:
Gender:F
Credentials:MBA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 771859
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33077-1859
Mailing Address - Country:US
Mailing Address - Phone:954-801-1009
Mailing Address - Fax:
Practice Address - Street 1:11011 SHERIDAN ST STE 211
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1531
Practice Address - Country:US
Practice Address - Phone:754-800-4853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist