Provider Demographics
NPI:1932085826
Name:WATERHOUSE, ANNE (LMHC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:WATERHOUSE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E BROADWAY APT 1M
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4312
Mailing Address - Country:US
Mailing Address - Phone:516-384-9429
Mailing Address - Fax:
Practice Address - Street 1:136 E PARK AVE STE B
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3510
Practice Address - Country:US
Practice Address - Phone:516-200-4628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health