Healthcare Provider Details
I. General information
NPI: 1689500670
Provider Name (Legal Business Name): ANCHORED HOPE CC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33207 WESTLAKE DR
STERLING HEIGHTS MI
48312-6334
US
IV. Provider business mailing address
33207 WESTLAKE DR
STERLING HEIGHTS MI
48312-6334
US
V. Phone/Fax
- Phone: 586-804-7339
- Fax:
- Phone: 586-804-7339
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAWNDA
R
DEWBERRY
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LMSW
Phone: 248-910-8677