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General NPI Number Information
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NPI Number | 1437626587
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Entity Type | Organization
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Legal Business Name | ANCHORED IN HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 1690 WOODLANDS DR STE 200
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City | MAUMEE
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State | OH
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Zip | 43537-4045
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Country | US
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Telephone | 419-491-0420
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Fax | 567-698-7875
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Provider Business Mailing Address
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Address Line | PO BOX 823
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City | PERRYSBURG
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State | OH
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Zip | 43552-0823
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Country | US
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Telephone | 419-656-7954
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR
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Name | MRS. KRISTA M MCCULLOCH
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Credential | LISW-S
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Telephone | 419-656-7954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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