Provider Demographics
NPI:1578048500
Name:RAYNOR, ANNE MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:RAYNOR
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 CUMBERLAND TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-1241
Mailing Address - Country:US
Mailing Address - Phone:305-389-9759
Mailing Address - Fax:
Practice Address - Street 1:80 SW 8TH ST STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3003
Practice Address - Country:US
Practice Address - Phone:305-389-9759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15778101YM0800X
MH157781041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical