Provider Demographics
NPI:1417493594
Name:ANCHORED HOPE COUNSELING PLCC
Entity Type:Organization
Organization Name:ANCHORED HOPE COUNSELING PLCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STILTNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPCC
Authorized Official - Phone:606-454-3689
Mailing Address - Street 1:6883 MILLARD HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-7945
Mailing Address - Country:US
Mailing Address - Phone:606-200-3450
Mailing Address - Fax:
Practice Address - Street 1:6883 MILLARD HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-7945
Practice Address - Country:US
Practice Address - Phone:606-200-3450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100324470Medicaid