Provider Demographics
NPI:1437840840
Name:SURE ANCHOR CHRISTIAN COUNSELING
Entity Type:Organization
Organization Name:SURE ANCHOR CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-824-0868
Mailing Address - Street 1:911 MACE AVE
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-4740
Mailing Address - Country:US
Mailing Address - Phone:410-404-2094
Mailing Address - Fax:
Practice Address - Street 1:911 MACE AVE
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-4740
Practice Address - Country:US
Practice Address - Phone:410-404-2094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health