Healthcare Provider Details

I. General information

NPI: 1912145269
Provider Name (Legal Business Name): ANCHOR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2009
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3690 N STYGLER RD
GAHANNA OH
43230-4850
US

IV. Provider business mailing address

3690 N STYGLER RD
GAHANNA OH
43230-4850
US

V. Phone/Fax

Practice location:
  • Phone: 614-522-9227
  • Fax:
Mailing address:
  • Phone: 614-522-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberC.0701159
License Number StateOH

VIII. Authorized Official

Name: MR. STEPHEN MOHR
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC-S
Phone: 614-522-9227