Healthcare Provider Details

I. General information

NPI: 1104760198
Provider Name (Legal Business Name): ANCHORED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 BRIDGE ST
BEVERLY MA
01915-2851
US

IV. Provider business mailing address

116 BRIDGE ST
BEVERLY MA
01915-2851
US

V. Phone/Fax

Practice location:
  • Phone: 617-256-4628
  • Fax:
Mailing address:
  • Phone:
  • 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: MRS. JENNIFER DAWN BEARDSLEE
Title or Position: THERAPIST
Credential: LMHC
Phone: 617-256-4628