Healthcare Provider Details

I. General information

NPI: 1215642343
Provider Name (Legal Business Name): ANCHOR MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13083 CURRY DR
SPRING HILL FL
34609-0932
US

IV. Provider business mailing address

13083 CURRY DR
SPRING HILL FL
34609-0932
US

V. Phone/Fax

Practice location:
  • Phone: 352-440-5784
  • Fax:
Mailing address:
  • Phone: 352-440-5784
  • Fax:

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: DULAN NIROSHAN GUNADASA HIKKADUWA LIYANAGE
Title or Position: MANAGER
Credential:
Phone: 425-949-2945