Anchor To Serenity Llc | |
602 N Main St Unit B Rockdale TX 76567-2393 | |
(512) 429-4334 | |
(512) 559-1659 |
Full Name | Anchor To Serenity Llc |
---|---|
Speciality | Counselor - Professional |
Location | 602 N Main St Unit B, Rockdale, Texas |
Authorized Official Name and Position | Terry Young Ms. Lpc Lcdc (OWNER) |
Authorized Official Contact | 5124294334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anchor To Serenity Llc 602 N Main St Unit B Rockdale TX 76567-2393 Ph: (512) 429-4334 | Anchor To Serenity Llc 602 N Main St Unit B Rockdale TX 76567-2393 Ph: (512) 429-4334 |
NPI Number | 1619556123 |
---|---|
Provider Enumeration Date | 04/03/2021 |
Last Update Date | 03/06/2025 |
Certification Date | 03/06/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619556123 | NPI | - | NPPES |
394109801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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