Provider Demographics
NPI:1972037828
Name:ANCHORED HOPE THERAPY, LLC
Entity Type:Organization
Organization Name:ANCHORED HOPE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVERLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-972-4529
Mailing Address - Street 1:1997 ANNAPOLIS EXCHANGE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3271
Mailing Address - Country:US
Mailing Address - Phone:410-972-4529
Mailing Address - Fax:410-972-4701
Practice Address - Street 1:1997 ANNAPOLIS EXCHANGE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3271
Practice Address - Country:US
Practice Address - Phone:410-972-4529
Practice Address - Fax:410-972-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD170041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty