Provider Demographics
NPI:1750766846
Name:COCOVES, ANITA PETZOLD (LMHC)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:PETZOLD
Last Name:COCOVES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:DR
Other - First Name:ANITA
Other - Middle Name:PETZOLD
Other - Last Name:COCOVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LMHC, MCAP
Mailing Address - Street 1:472 SE EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-4712
Mailing Address - Country:US
Mailing Address - Phone:772-215-9377
Mailing Address - Fax:
Practice Address - Street 1:472 SE EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-4712
Practice Address - Country:US
Practice Address - Phone:772-215-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3231101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health