MEDICARE: ANCHORED IN BREAKING BARRIERS 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1760046726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORED IN BREAKING BARRIERS LLC

Provider Business Mailing Address
First Line	:	1515 E SILVER SPRINGS BLVD STE 134
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-6830
Country	:	US
Telephone Number	:	352-888-6699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 E SILVER SPRINGS BLVD STE 134
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-6830
Country	:	US
Telephone Number	:	352-888-6699
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	HELEN APOSTOLATOS
Credential	:	MS,MA RMHI
Telephone Number	:	352-888-6699

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	04/25/2019

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