Provider Demographics
NPI:1821628983
Name:ANCHOR OF HOPE COUNSELING, LLC
Entity Type:Organization
Organization Name:ANCHOR OF HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MADALYN
Authorized Official - Middle Name:TINIA
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LPC
Authorized Official - Phone:334-219-8448
Mailing Address - Street 1:5785 CARRIAGE BARN LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-1535
Mailing Address - Country:US
Mailing Address - Phone:334-663-4508
Mailing Address - Fax:
Practice Address - Street 1:39 CAROL VILLA DR # A
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-4221
Practice Address - Country:US
Practice Address - Phone:334-219-8448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty