| Doctor Name: | DR. ANITA BHAT |
| NPI Number: | 1003294471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D.,M.A.,LPCA |
| License Number: | A11445 |
| Business Practice Address: | 2216 S Miami Blvd Suite 103 Durham, NC - 277036281 |
| Business Phone Number: | 9198060497 |
| Business Fax Number: | 8668208694 |
| Mailing Address: | 2216 S Miami Blvd, Suite 103 DURHAM |
| State: | NC |
| Postal Code: | 277036281 |
| Phone Number: | 9198060497 |
| Fax Number: | 8668208694 |
| NPI Enumeration Date: | 05/18/2015 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A11445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |