MEDICARE: BE THE ANCHOR COUNSELING, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1407414535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE THE ANCHOR COUNSELING, LLC

Provider Business Mailing Address
First Line	:	6452 W HIGHWAY 146
Second Line	:
City	:	CRESTWOOD
State	:	KY
Zip	:	40014-9575
Country	:	US
Telephone Number	:	502-338-3653
Fax Number	:	502-540-3070

Provider Business Practice Location Address
First Line	:	6452 W HIGHWAY 146
Second Line	:
City	:	CRESTWOOD
State	:	KY
Zip	:	40014-9575
Country	:	US
Telephone Number	:	502-338-3653
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMMY HUBBARD
Credential	:	LCSW
Telephone Number	:	502-797-3338

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	06/19/2023

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