Provider Demographics
NPI:1720600653
Name:ANCHOR POINT OF HOPE COUNSELING SERVICES PC
Entity Type:Organization
Organization Name:ANCHOR POINT OF HOPE COUNSELING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BROOME
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-207-5725
Mailing Address - Street 1:10335 CEDARCREST RD
Mailing Address - Street 2:
Mailing Address - City:WHITMORE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48189-9396
Mailing Address - Country:US
Mailing Address - Phone:810-207-5725
Mailing Address - Fax:
Practice Address - Street 1:10335 CEDARCREST RD
Practice Address - Street 2:
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189-9396
Practice Address - Country:US
Practice Address - Phone:810-207-5725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty