Blue Anchor Wellness, LLC
Psychologist, Clinical in Schaumburg, IL. Organization (NPI-2).
NPI number1285213769
StatusActive
Last updated in NPPESApr 3, 2021
Details
- NPI
- 1285213769
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Anchor Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2021
- Certification date
- Apr 3, 2021
- Last updated
- Apr 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
715 E Golf Rd Ste 200a1Schaumburg, IL 60173-4595
Phone 847-650-9617
Mailing address
72 Jefferson LnCary, IL 60013-1887
Phone 847-650-9617
Authorized official
Caryn Andrews
Owner/Clinical Psychologist
8476509617
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