NPI Code Details Logo

NPI 1386505022

NPI 1386505022 : ANCHORED RESOURCES LLC : MACON, MS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386505022
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ANCHORED RESOURCES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/21/2025
-----------------------------------------------------
    Last Update Date     |    11/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    425 OLD MACON ROAD 
-----------------------------------------------------
    City                 |    MACON
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39341
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    662-268-9881
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 3 
-----------------------------------------------------
    City                 |    MACON
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39341-0003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     QUANESHIA  CHANDLER 
-----------------------------------------------------
    Credential           |    LPC, BC-TMH
-----------------------------------------------------
    Telephone            |    662-268-9881
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.