Healthcare Provider Details

I. General information

NPI: 1013561695
Provider Name (Legal Business Name): ANCHOR COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 PINE GROVE AVE
PORT HURON MI
48060-3513
US

IV. Provider business mailing address

1423 PINE GROVE AVE
PORT HURON MI
48060-3513
US

V. Phone/Fax

Practice location:
  • Phone: 810-990-8720
  • Fax:
Mailing address:
  • Phone: 810-990-8720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAWN FISCHER
Title or Position: OWNER/CLINICIAN
Credential: LMSW
Phone: 810-990-8720