| Anchored Counseling Services, Llc | |
|
2062 Mountain St Ne Jacksonville AL 36265-1921 | |
| (256) 490-6916 | |
| Not Available |
| Full Name | Anchored Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2062 Mountain St Ne, Jacksonville, Alabama |
| Authorized Official Name and Position | Steve Johnson (OWNER) |
| Authorized Official Contact | 2564906916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Counseling Services, Llc 2062 Mountain St Ne Jacksonville AL 36265-1921 Ph: (256) 490-6916 | Anchored Counseling Services, Llc 2062 Mountain St Ne Jacksonville AL 36265-1921 Ph: (256) 490-6916 |
| NPI Number | 1992522791 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 1850814211 |
|---|---|
| Medicare Enrollment ID | O20250326004012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992522791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven Henry Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093958696 PECOS PAC ID: 2769905124 Enrollment ID: I20250326004021 |
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