| Doctor Name: | MR. ANIL L CHIRAYATH |
| NPI Number: | 1104181205 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC |
| License Number: | LC4398 |
| Business Practice Address: | 621 Stemmers Run Rd Ste E Essex, MD - 212213386 |
| Business Phone Number: | 4105742500 |
| Business Fax Number: | 4105744478 |
| Mailing Address: | 1040 Park Ave Ste 103, BALTIMORE |
| State: | MD |
| Postal Code: | 212015633 |
| Phone Number: | 4108373977 |
| Fax Number: | 4107524218 |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LC4398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |