Healthcare Provider Details

I. General information

NPI: 1417029935
Provider Name (Legal Business Name): ANCHOR MENTAL HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LAWRENCE ST NE
WASHINGTON DC
20017-3513
US

IV. Provider business mailing address

1001 LAWRENCE ST NE
WASHINGTON DC
20017-3513
US

V. Phone/Fax

Practice location:
  • Phone: 202-635-5900
  • Fax: 202-635-5901
Mailing address:
  • Phone: 202-635-5900
  • Fax: 202-635-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LOVANNIA DOFAT-AVENT
Title or Position: CSA DIRECTOR
Credential: LICSW
Phone: 202-635-5900