Healthcare Provider Details

I. General information

NPI: 1255236212
Provider Name (Legal Business Name): ANCHORPOINT PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8854 N BROADWAY
SAINT LOUIS MO
63147-2229
US

IV. Provider business mailing address

7 BEHLMANN LAKE CT
FLORISSANT MO
63034-2862
US

V. Phone/Fax

Practice location:
  • Phone: 314-560-8347
  • Fax:
Mailing address:
  • Phone: 314-560-8347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: SIJUOLA NOIMOT ADELEKAN
Title or Position: OWNER
Credential: NP
Phone: 314-560-8347