Anchored Hope Clinic, PLLC
Nurse Practitioner, Psych/Mental Health in Hattiesburg, MS. Organization (NPI-2).
NPI number1093485930
StatusActive
Last updated in NPPESJan 15, 2022
Details
- NPI
- 1093485930
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchored Hope Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2021
- Certification date
- Jan 15, 2022
- Last updated
- Jan 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Anchored Hope Clinic (Doing Business As)
Practice location
423 Weathersby Rd Ste 180Hattiesburg, MS 39402-1132
Phone 601-376-9144 · Fax 601-429-9300
Mailing address
423 Weathersby Rd Ste 180Hattiesburg, MS 39402-1132
Phone 601-376-9144 · Fax 601-429-9300
Other practice locations
2626 Southerland St Ste 100
Jackson, MS 39216-4825
Jackson, MS 39216-4825
Phone 601-376-9144
Authorized official
Racheal Pritchett
Member
6013769144
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