Provider Demographics
NPI:1831780899
Name:ANCHOR PSYCHOTHERAPY, INC.
Entity type:Organization
Organization Name:ANCHOR PSYCHOTHERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:BREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHASSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-590-9866
Mailing Address - Street 1:506 W HUNTINGTON DR UNIT 20
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-3411
Mailing Address - Country:US
Mailing Address - Phone:626-590-9866
Mailing Address - Fax:
Practice Address - Street 1:32 S RAYMOND AVE STE 7
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1961
Practice Address - Country:US
Practice Address - Phone:626-590-9866
Practice Address - Fax:818-453-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA106H00000XOtherANCHOR PSYCHOTHERAPY, INC.