Provider Demographics
NPI:1073285425
Name:HEALING ANCHOR COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:HEALING ANCHOR COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-813-8744
Mailing Address - Street 1:2986 W LEHMAN AVE APT 428
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-3613
Mailing Address - Country:US
Mailing Address - Phone:951-813-8744
Mailing Address - Fax:
Practice Address - Street 1:503 W 2600 S STE 200-C
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-7717
Practice Address - Country:US
Practice Address - Phone:951-813-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty