Provider Demographics
NPI:1639959786
Name:ANCHORED MIND COUNSELING, LLC
Entity Type:Organization
Organization Name:ANCHORED MIND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW-PIP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:HOELTZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-PIP, QMHP
Authorized Official - Phone:605-857-0714
Mailing Address - Street 1:708 S ROOSEVELT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-0300
Mailing Address - Country:US
Mailing Address - Phone:605-770-3413
Mailing Address - Fax:
Practice Address - Street 1:708 S ROOSEVELT ST STE 2
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-0300
Practice Address - Country:US
Practice Address - Phone:605-857-0714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty