Basic Information
| Provider Information | |||||||||
| NPI: | 1376287854 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANCHOR HOPE COUNSELING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 107 JULEP LANE | ||||||||
| Address2: | |||||||||
| City: | HARVEST | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357494873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606314350 | ||||||||
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| Practice Location | |||||||||
| Address1: | 107 JULEP LANE | ||||||||
| Address2: | |||||||||
| City: | HARVEST | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357494873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2562587777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2022 | ||||||||
| LastUpdateDate: | 04/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | BOOTHE | ||||||||
| AuthorizedOfficialFirstName: | MACKENZIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/MBR | ||||||||
| AuthorizedOfficialTelephone: | 3606314350 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LPC | ||||||||
| NPICertificationDate: | 04/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.