Healthcare Provider Details

I. General information

NPI: 1750285706
Provider Name (Legal Business Name): ANCHOR RIDGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 W 900 N STE B
SPANISH FORK UT
84660-1181
US

IV. Provider business mailing address

128 W 900 N STE B
SPANISH FORK UT
84660-1181
US

V. Phone/Fax

Practice location:
  • Phone: 801-251-6858
  • Fax:
Mailing address:
  • Phone: 801-251-6858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JASON MCBRIDE
Title or Position: ORGANIZER/OWNER
Credential: PHD
Phone: 480-734-5842