Provider Demographics
NPI:1184288987
Name:ANCHOR COUNSELING
Entity type:Organization
Organization Name:ANCHOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:479-644-3078
Mailing Address - Street 1:901 SE 28TH ST STE 11
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3890
Mailing Address - Country:US
Mailing Address - Phone:479-644-3078
Mailing Address - Fax:
Practice Address - Street 1:901 SE 28TH ST STE 11
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3890
Practice Address - Country:US
Practice Address - Phone:479-644-3078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty