| Anchored In Wellness, Llc | |
|
311 E Cherry St Jesup GA 31546-4872 | |
| (912) 530-8889 | |
| (912) 598-6109 |
| Full Name | Anchored In Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 311 E Cherry St, Jesup, Georgia |
| Authorized Official Name and Position | Shauna Mattingly (OWNER) |
| Authorized Official Contact | 9125308889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored In Wellness, Llc 311 E Cherry St Jesup GA 31546-4872 Ph: (912) 530-8889 | Anchored In Wellness, Llc 311 E Cherry St Jesup GA 31546-4872 Ph: (912) 530-8889 |
| NPI Number | 1174996847 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 11/01/2016 |
| Medicare PECOS PAC ID | 5890078810 |
|---|---|
| Medicare Enrollment ID | O20170216001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174996847 | NPI | - | NPPES |
| 112252915A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003662 (Georgia) | Primary |
| Provider Name | Shauna N Mattingly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619987641 PECOS PAC ID: 6608876180 Enrollment ID: I20070106000124 |
| Provider Name | Mandy Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740425479 PECOS PAC ID: 5395030373 Enrollment ID: I20160830001798 |
| Provider Name | Sonya Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427561752 PECOS PAC ID: 6608125125 Enrollment ID: I20180816002268 |
| Provider Name | Hannah Brooke Evors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417581778 PECOS PAC ID: 8123459088 Enrollment ID: I20200508000197 |
| Provider Name | Fraine Thomas Fledderman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457344749 PECOS PAC ID: 6305230970 Enrollment ID: I20220224000607 |
The Howard Center For Social Cognition And Communication Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 W Orange St, Jesup, GA 31545 Phone: 912-385-2927 Fax: 912-385-2928 |