Provider Demographics
NPI:1861989923
Name:DRAPER, ANNA (LMHC, ATR)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:DRAPER
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:REICHLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10126 DORIATH CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-9104
Mailing Address - Country:US
Mailing Address - Phone:321-505-6734
Mailing Address - Fax:
Practice Address - Street 1:1600 E ROBINSON ST STE 250
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5955
Practice Address - Country:US
Practice Address - Phone:407-423-3327
Practice Address - Fax:407-843-1860
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18-094221700000X
FLMH15087101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist