Healthcare Provider Details

I. General information

NPI: 1275319238
Provider Name (Legal Business Name): ANCHOR RESILIENCE PATH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6698 68TH AVE N STE 356
PINELLAS PARK FL
33781-5015
US

IV. Provider business mailing address

6698 68TH AVE N STE 356
PINELLAS PARK FL
33781-5015
US

V. Phone/Fax

Practice location:
  • Phone: 727-405-2450
  • Fax: 727-204-5245
Mailing address:
  • Phone: 727-405-2450
  • Fax: 727-405-2450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREW R PENN
Title or Position: OWNER
Credential: LMHC
Phone: 727-405-2450