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General NPI Number Information
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NPI Number | 1598404816
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Entity Type | Organization
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Legal Business Name | ANCHORTHERAPY LLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 6232 BANKERS RD LOWER
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City | MOUNT PLEASANT
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State | WI
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Zip | 53403-9747
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Country | US
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Telephone | 605-641-0566
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Fax |
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Provider Business Mailing Address
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Address Line | 6232 BANKERS RD LOWR
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City | MOUNT PLEASANT
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State | WI
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Zip | 53403-9747
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Country | US
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Telephone | 605-641-0566
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | JESSICA L AIELLO
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Credential | LPC
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Telephone | 605-641-0566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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