Healthcare Provider Details

I. General information

NPI: 1073755849
Provider Name (Legal Business Name): ANCHOR COUNSELING & TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10709 BIRMINGHAM WAY
WOODSTOCK MD
21163-1403
US

IV. Provider business mailing address

5169 PERRY RD
MOUNT AIRY MD
21771-8807
US

V. Phone/Fax

Practice location:
  • Phone: 410-707-9676
  • Fax: 410-418-4665
Mailing address:
  • Phone: 410-707-9676
  • Fax: 410-418-4665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number07354
License Number StateMD

VIII. Authorized Official

Name: MS. LOUISE ANNE FLEISCHMAN
Title or Position: THERAPIST/CONSULTANT
Credential: LCSW-C
Phone: 410-707-9676