Organization Name: | ANCHOR COUNSELING SERVICES, LLC |
NPI Number: | 1245614965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA EMILY LIEBERTH (MENTAL HEALTH COUNSELOR, CO-OWNER) |
Mailing Address: | 221 E 320th St Willowick |
State: | OH US |
Postal Code: | 440953539 |
Phone Number: | 4409430151 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2015 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E1200186 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |