| Anchored In Hope Counseling, Llc | |
|
1690 Woodlands Dr Ste 200 Maumee OH 43537-4045 | |
| (419) 491-0420 | |
| (567) 698-7875 |
| Full Name | Anchored In Hope Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1690 Woodlands Dr Ste 200, Maumee, Ohio |
| Authorized Official Name and Position | Krista M Mcculloch (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 4196567954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored In Hope Counseling, Llc Po Box 823 Perrysburg OH 43552-0823 Ph: (419) 656-7954 | Anchored In Hope Counseling, Llc 1690 Woodlands Dr Ste 200 Maumee OH 43537-4045 Ph: (419) 491-0420 |
| NPI Number | 1437626587 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 5294166138 |
|---|---|
| Medicare Enrollment ID | O20200511000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437626587 | NPI | - | NPPES |
| 0260323 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Krista Mcculloch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124453907 PECOS PAC ID: 0749611564 Enrollment ID: I20200512001471 |
| Provider Name | Daniel Huesman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902319353 PECOS PAC ID: 9234588203 Enrollment ID: I20231215002320 |
| Provider Name | Andrea Leigh Bain-frye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811557473 PECOS PAC ID: 0749602928 Enrollment ID: I20240313002490 |
| Provider Name | Jessica Rae Huesman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689058182 PECOS PAC ID: 7618313545 Enrollment ID: I20240313002562 |
| Provider Name | Cassandra A Graff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275872277 PECOS PAC ID: 2961848890 Enrollment ID: I20240313002643 |
Anchored In Hope Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodlands Dr Ste 200, Maumee, OH 43537 Phone: 419-491-0420 Fax: 567-698-7875 | |
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