MEDICARE: ANCHOR BEHAVIORAL WELLNESS 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1790620391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR BEHAVIORAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	2430 SOUTHLAND DR STE 7
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-2354
Country	:	US
Telephone Number	:	804-534-1674
Fax Number	:	804-445-9353

Provider Business Practice Location Address
First Line	:	2430 SOUTHLAND DR STE 7
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-2354
Country	:	US
Telephone Number	:	804-534-1674
Fax Number	:	804-445-9353

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	SONYA WEAVER
Credential	:
Telephone Number	:	804-534-1673

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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