Healthcare Provider Details

I. General information

NPI: 1083102677
Provider Name (Legal Business Name): ANCHORED CHILD & FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2018
Last Update Date: 05/23/2021
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 NORTHERN PIKE STE 102
MONROEVILLE PA
15146-2719
US

IV. Provider business mailing address

4232 NORTHERN PIKE STE 102
MONROEVILLE PA
15146-2719
US

V. Phone/Fax

Practice location:
  • Phone: 412-710-2966
  • Fax: 412-754-3083
Mailing address:
  • Phone: 412-564-3294
  • Fax: 412-754-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMARA HILL
Title or Position: PRACTICE OWNER/LICENSED THERAPIST
Credential: MS, NCC, CCTP, LPC
Phone: 412-710-2966