Provider Demographics
NPI:1376287854
Name:ANCHOR HOPE COUNSELING LLC
Entity Type:Organization
Organization Name:ANCHOR HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MBR
Authorized Official - Prefix:
Authorized Official - First Name:MACKENZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTHE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:360-631-4350
Mailing Address - Street 1:107 JULEP LANE
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-4873
Mailing Address - Country:US
Mailing Address - Phone:360-631-4350
Mailing Address - Fax:
Practice Address - Street 1:107 JULEP LANE
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-4873
Practice Address - Country:US
Practice Address - Phone:256-258-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty