Provider Demographics
NPI:1043927502
Name:MOSHER, ANITA JEAN (LLMSW, ICAADC)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:JEAN
Last Name:MOSHER
Suffix:
Gender:F
Credentials:LLMSW, ICAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:ALANSON
Mailing Address - State:MI
Mailing Address - Zip Code:49706-9297
Mailing Address - Country:US
Mailing Address - Phone:906-630-9085
Mailing Address - Fax:231-368-6051
Practice Address - Street 1:970 W CONWAY RD
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9585
Practice Address - Country:US
Practice Address - Phone:231-674-5150
Practice Address - Fax:231-368-6051
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty