Provider Demographics
NPI:1952812240
Name:ANCHORED COUNSELING SERVICES
Entity Type:Organization
Organization Name:ANCHORED COUNSELING SERVICES
Other - Org Name:ANCHORED COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS ONWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ST. JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:847-721-4244
Mailing Address - Street 1:1011 W BOMBAY WAY
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4875
Mailing Address - Country:US
Mailing Address - Phone:847-721-4244
Mailing Address - Fax:
Practice Address - Street 1:616 N NORTH CT STE 100
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8199
Practice Address - Country:US
Practice Address - Phone:847-721-4244
Practice Address - Fax:847-721-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009795101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty