Healthcare Provider Details

I. General information

NPI: 1659299030
Provider Name (Legal Business Name): ANCHORED LIFE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3559 S CENTENNIAL WAY
BOISE ID
83706-5609
US

IV. Provider business mailing address

3559 S CENTENNIAL WAY
BOISE ID
83706-5609
US

V. Phone/Fax

Practice location:
  • Phone: 208-391-2990
  • Fax:
Mailing address:
  • Phone: 208-391-2990
  • 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: DR. HEATHER HAYNES
Title or Position: FOUNDER, THERAPIST
Credential: LCSW, DSW
Phone: 208-391-2990