Healthcare Provider Details

I. General information

NPI: 1255241410
Provider Name (Legal Business Name): ANCHOR BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 E 4TH AVE
RED SPRINGS NC
28377-1641
US

IV. Provider business mailing address

919 E 4TH AVE
RED SPRINGS NC
28377-1641
US

V. Phone/Fax

Practice location:
  • Phone: 910-483-0324
  • Fax:
Mailing address:
  • Phone: 910-483-0324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES FREDERICK
Title or Position: CEO
Credential:
Phone: 732-674-5748