Anastasiades, Maria Helen

Anastasiades, Maria Helen is an individual health care provider with primary practice located at 820 Prudential Dr Ste 510 , Jacksonville FL 32207-8207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anastasiades, Maria Helen can be contacted via phone (904) 396-8975.

Contact Information

Primary practice address
820 Prudential Dr Ste 510 Jacksonville FL 32207-8207
Phone: (904) 396-8975
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 38097 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10558 Florida

Profile Details

NPI number 1740752435
LBN Legal business name Anastasiades, Maria Helen
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Aug 5th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740752435 NPPES
Florida MEDICAID 112644600

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