Healthcare Provider Details

I. General information

NPI: 1033412663
Provider Name (Legal Business Name): ANCHOR POINT COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 W MAIN ST SUITE 110
BATTLE GROUND WA
98604-4316
US

IV. Provider business mailing address

1710 W MAIN ST SUITE 110
BATTLE GROUND WA
98604-4316
US

V. Phone/Fax

Practice location:
  • Phone: 360-687-3222
  • Fax:
Mailing address:
  • Phone: 360-687-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number06133200
License Number StateWA

VIII. Authorized Official

Name: ANDREW LINDSELL
Title or Position: ADMINISTRATOR
Credential: LMHC, CDP
Phone: 360-687-3222