Provider Demographics
NPI:1932574407
Name:ANCHORED THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:ANCHORED THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-459-4746
Mailing Address - Street 1:20 W LUCERNE CIR APT 917
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3792
Mailing Address - Country:US
Mailing Address - Phone:407-459-4746
Mailing Address - Fax:407-429-3802
Practice Address - Street 1:12301 LAKE UNDERHILL RD STE 267
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4513
Practice Address - Country:US
Practice Address - Phone:407-459-4746
Practice Address - Fax:407-429-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty