Healthcare Provider Details

I. General information

NPI: 1215457544
Provider Name (Legal Business Name): ANCHORED HOPE COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6883 MILLARD HWY STE 2
PIKEVILLE KY
41501-7945
US

IV. Provider business mailing address

6883 MILLARD HWY STE 2
PIKEVILLE KY
41501-7945
US

V. Phone/Fax

Practice location:
  • Phone: 606-200-3450
  • Fax: 606-766-0400
Mailing address:
  • Phone: 606-200-3450
  • Fax: 606-766-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE STILTNER
Title or Position: MANAGER
Credential: PHD
Phone: 606-200-3450