Provider Demographics
NPI:1710444187
Name:ANCHORED BY HOPE LLC
Entity Type:Organization
Organization Name:ANCHORED BY HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRYSTLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WORKING DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-490-2100
Mailing Address - Street 1:4466 STATE ROUTE 261 STE 1
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2832
Mailing Address - Country:US
Mailing Address - Phone:812-490-2100
Mailing Address - Fax:
Practice Address - Street 1:4466 STATE ROUTE 261 STE 1
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2832
Practice Address - Country:US
Practice Address - Phone:812-490-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)