Organization Name: | ANCHOR PSYCHOLOGICAL & COUNSELING SERVICES PLLC |
NPI Number: | 1114124401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY M GODIN (OWNER) |
Mailing Address: | 16581 Us Hwy 17 N Suite 600 Hampstead |
State: | NC US |
Postal Code: | 284437451 |
Phone Number: | 9102709995 |
Fax Number: | 9102709905 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4801 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |