Provider Demographics
NPI:1942617659
Name:ANCHORED IN WELLNESS, INC
Entity Type:Organization
Organization Name:ANCHORED IN WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:BERFECT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:504-249-2239
Mailing Address - Street 1:1799 STUMPF BLVD
Mailing Address - Street 2:SUITE 10 BLDG 7
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-3950
Mailing Address - Country:US
Mailing Address - Phone:504-249-2239
Mailing Address - Fax:504-308-1400
Practice Address - Street 1:1799 STUMPF BLVD
Practice Address - Street 2:SUITE 10 BLDG 7
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-3950
Practice Address - Country:US
Practice Address - Phone:504-249-2239
Practice Address - Fax:504-308-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9535251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health