Healthcare Provider Details

I. General information

NPI: 1114836475
Provider Name (Legal Business Name): ANCHORED MIND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 HEADRACE MILL ST
WAKE FOREST NC
27587-9247
US

IV. Provider business mailing address

320 HEADRACE MILL ST
WAKE FOREST NC
27587-9247
US

V. Phone/Fax

Practice location:
  • Phone: 724-610-7292
  • Fax:
Mailing address:
  • Phone: 724-610-7292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: IAN NICHOLAS FERREE
Title or Position: COUNSELOR
Credential: MA, LCMHC
Phone: 724-610-7292