Anchor Mental Health And Wellness, PLLC
Nurse Practitioner, Psych/Mental Health in Lake Charles, LA. Organization (NPI-2).
NPI number1992227425
StatusActive
Last updated in NPPESJul 15, 2023
Details
- NPI
- 1992227425
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchor Mental Health And Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2017
- Certification date
- Jul 15, 2023
- Last updated
- Jul 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP09425 | LA | Yes |
Other names
- Anchor Mental Health And Wellness, PLLC (Doing Business As)
- Anchor Mental Health And Wellness (Doing Business As)
Practice location
1943 Barbe StLake Charles, LA 70601-5748
Phone 409-720-8709
Mailing address
1943 Barbe StLake Charles, LA 70601-5748
Phone 409-720-8709
Authorized official
Bethanne Fondren Carson
Pmhnp
4097208709
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