Provider Demographics
NPI:1841655321
Name:ANCHORED IN HOPE LLC
Entity type:Organization
Organization Name:ANCHORED IN HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALE-BEERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-296-7746
Mailing Address - Street 1:7627 E 126TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2796
Mailing Address - Country:US
Mailing Address - Phone:918-296-7746
Mailing Address - Fax:918-209-5476
Practice Address - Street 1:10125 S. SHERIDAN RD
Practice Address - Street 2:SUITE D
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133
Practice Address - Country:US
Practice Address - Phone:918-296-7746
Practice Address - Fax:918-209-5476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4363101YP2500X
OK261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200632440AMedicaid