Provider Demographics
NPI:1669081527
Name:ANCHORAGE COUNSELING LLC
Entity type:Organization
Organization Name:ANCHORAGE COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-506-8793
Mailing Address - Street 1:612 PENNSYLVANIA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1288
Mailing Address - Country:US
Mailing Address - Phone:814-506-8793
Mailing Address - Fax:814-506-8935
Practice Address - Street 1:612 PENNSYLVANIA AVE STE 3
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1288
Practice Address - Country:US
Practice Address - Phone:814-506-8793
Practice Address - Fax:814-506-8935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty