| Anchortherapy Llc | |
|
6232 Bankers Rd Lower Mount Pleasant WI 53403-9747 | |
| (605) 641-0566 | |
| Not Available |
| Full Name | Anchortherapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 6232 Bankers Rd Lower, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Jessica L Aiello (THERAPIST/OWNER) |
| Authorized Official Contact | 6056410566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchortherapy Llc 6232 Bankers Rd Lowr Mount Pleasant WI 53403-9747 Ph: (605) 641-0566 | Anchortherapy Llc 6232 Bankers Rd Lower Mount Pleasant WI 53403-9747 Ph: (605) 641-0566 |
| NPI Number | 1598404816 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/13/2024 |
| Medicare PECOS PAC ID | 4587004478 |
|---|---|
| Medicare Enrollment ID | O20240425001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598404816 | NPI | - | NPPES |
| 14070741 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica L Aiello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598152092 PECOS PAC ID: 5496195380 Enrollment ID: I20240425001324 |
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