| Anchor Counseling Services, Llc | |
|
8500 Station St Ste 101 Mentor OH 44060-4963 | |
| (440) 792-5081 | |
| Not Available |
| Full Name | Anchor Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 8500 Station St Ste 101, Mentor, Ohio |
| Authorized Official Name and Position | Janet Fetzer (OWNER) |
| Authorized Official Contact | 4407424656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Counseling Services, Llc 8500 Station St Ste 101 Mentor OH 44060-4963 Ph: (440) 792-5081 | Anchor Counseling Services, Llc 8500 Station St Ste 101 Mentor OH 44060-4963 Ph: (440) 792-5081 |
| NPI Number | 1245614965 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Medicare PECOS PAC ID | 9234665522 |
|---|---|
| Medicare Enrollment ID | O20241210003246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245614965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0900249 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E1200186 (Ohio) | Primary |
| Provider Name | Lisa A Friend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902303902 PECOS PAC ID: 6608264346 Enrollment ID: I20211028001997 |
| Provider Name | Janet Elizabeth Fetzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710399910 PECOS PAC ID: 2961938253 Enrollment ID: I20241210003541 |
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