MEDICARE: ANCHOR AND LIGHT BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1104788637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR AND LIGHT BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	8666 BEECHMONT AVE # 1027
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4710
Country	:	US
Telephone Number	:	513-496-1413
Fax Number	:

Provider Business Practice Location Address
First Line	:	5398 SPRUCE MEADOWS COURT
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150
Country	:	US
Telephone Number	:	513-496-1413
Fax Number	:

Authorized Official
Title or Position	:	DNP, APRN-CNP, PMHNP-BC
Name	:	MRS. AMY TRENT
Credential	:	DNP, APRN-CNP, PMHNP
Telephone Number	:	513-469-1413

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	06/01/2026

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