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NPI Code Detail

MEDICARE: ANCHORING WITHIN, LLC

MEDICARE: ANCHORING WITHIN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1396358420
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANCHORING WITHIN, LLC
Provider Business Mailing Address
First Line : 201 CARPENTER DR
Second Line :
City : LANDRUM
State : SC
Zip : 29356-9435
Country : US
Telephone Number : 864-510-3222
Fax Number :
Provider Business Practice Location Address
First Line : 364 S PINE ST STE A205
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-2654
Country : US
Telephone Number : 864-663-2218
Fax Number :
Authorized Official
Title or Position : OWNER
Name : THERESA GOMES
Credential : LMFTS
Telephone Number : 864-663-2218
Provider Enumeration Date : 08/28/2020
Last Update Date : 07/24/2024

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Directions to “ANCHORING WITHIN, LLC ” Practice Location

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