Provider Demographics
NPI:1487314035
Name:RAKIP, ANNE MARIE (MS, EDD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:RAKIP
Suffix:
Gender:F
Credentials:MS, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 CABLE LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:CAROLINA SHORES
Mailing Address - State:NC
Mailing Address - Zip Code:28467-2394
Mailing Address - Country:US
Mailing Address - Phone:843-637-9544
Mailing Address - Fax:
Practice Address - Street 1:254 CABLE LAKE CIR
Practice Address - Street 2:
Practice Address - City:CAROLINA SHORES
Practice Address - State:NC
Practice Address - Zip Code:28467-2394
Practice Address - Country:US
Practice Address - Phone:843-637-9544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12369A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor