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General NPI Number Information
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NPI Number | 1972490498
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Entity Type | Organization
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Legal Business Name | ANCHORED WAY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 36 BELDEN AVENUE
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City | LIBERTY
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State | KY
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Zip | 42539
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Country | US
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Telephone | 606-669-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 2588 KY 906
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City | HUSTONVILLE
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State | KY
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Zip | 40437-8630
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Country | US
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Telephone | 606-669-7006
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TINTISHA CLANTON
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Credential |
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Telephone | 502-699-4634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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