Provider Demographics
NPI:1225613110
Name:ANCHOR COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ANCHOR COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:FORD
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-439-3673
Mailing Address - Street 1:14900 SHADY BANKS CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2503
Mailing Address - Country:US
Mailing Address - Phone:804-439-3673
Mailing Address - Fax:
Practice Address - Street 1:2720 LAYNE STREET EXT
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-3069
Practice Address - Country:US
Practice Address - Phone:180-443-9367
Practice Address - Fax:434-392-6385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)