Provider Demographics
NPI:1568998557
Name:ANCHOR COUNSELING GROUP, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ANCHOR COUNSELING GROUP, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AVO
Authorized Official - Middle Name:AVEH
Authorized Official - Last Name:SOLTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-497-7470
Mailing Address - Street 1:27836 SWEETWATER LN
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1486
Mailing Address - Country:US
Mailing Address - Phone:818-497-7470
Mailing Address - Fax:818-660-1085
Practice Address - Street 1:138 N BRAND BLVD STE 303
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4621
Practice Address - Country:US
Practice Address - Phone:818-497-7470
Practice Address - Fax:818-660-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45151106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty