| Anchored By Hope Llc | |
|
4466 State Route 261 Ste 1 Newburgh IN 47630-2832 | |
| (812) 490-2100 | |
| Not Available |
| Full Name | Anchored By Hope Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4466 State Route 261 Ste 1, Newburgh, Indiana |
| Authorized Official Name and Position | Krystle M Working Drury (OWNER) |
| Authorized Official Contact | 8124902100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored By Hope Llc 4466 State Route 261 Ste 1 Newburgh IN 47630-2832 Ph: (812) 490-2100 | Anchored By Hope Llc 4466 State Route 261 Ste 1 Newburgh IN 47630-2832 Ph: (812) 490-2100 |
| NPI Number | 1710444187 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Medicare PECOS PAC ID | 1456757558 |
|---|---|
| Medicare Enrollment ID | O20210914002988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710444187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Katlyn Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326529272 PECOS PAC ID: 8123433984 Enrollment ID: I20210209001989 |
| Provider Name | Krystle M Working Drury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922384692 PECOS PAC ID: 7315336328 Enrollment ID: I20210914002981 |
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