Provider Demographics
NPI:1417671322
Name:ANCHORED COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:ANCHORED COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAQUTIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:478-342-3015
Mailing Address - Street 1:3918 JEFFERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-6022
Mailing Address - Country:US
Mailing Address - Phone:478-342-3015
Mailing Address - Fax:
Practice Address - Street 1:3918 JEFFERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-6022
Practice Address - Country:US
Practice Address - Phone:478-342-3015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health