Organization · NPI-2
The Anchored Group LLC
Counselor, Mental Health · Milford, CT
NPI number1609464361
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1609464361
- Entity type
- Organization (NPI-2)
- Legal business name
- The Anchored Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2021
- Certification date
- Jan 7, 2021
- Last updated
- Jan 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
23 Carter DrMilford, CT 06460-5604
Phone 203-815-9546
Mailing address
23 Carter DrMilford, CT 06460-5604
Phone 203-815-9546
Authorized official
Derrick D Lewis
Founder/Ceo
2038159546
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