| Anchored Counseling And Therapy Services (acts) Llc | |
|
9604 S Park Ave Dothan AL 36301-8972 | |
| (334) 701-4220 | |
| Not Available |
| Full Name | Anchored Counseling And Therapy Services (acts) Llc |
|---|---|
| Speciality | Counselor |
| Location | 9604 S Park Ave, Dothan, Alabama |
| Authorized Official Name and Position | Christina Kelley (OWNER) |
| Authorized Official Contact | 3347014220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchored Counseling And Therapy Services (acts) Llc Po Box 234 Dothan AL 36302-0234 Ph: () - | Anchored Counseling And Therapy Services (acts) Llc 9604 S Park Ave Dothan AL 36301-8972 Ph: (334) 701-4220 |
| NPI Number | 1710350111 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 11/06/2015 |
| Medicare PECOS PAC ID | 0345775326 |
|---|---|
| Medicare Enrollment ID | O20241127002961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710350111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3436 (Alabama) | Secondary |
| 101YP2500X | Counselor - Professional | 3436 (Alabama) | Primary |
| Provider Name | Christina Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386049344 PECOS PAC ID: 5698200673 Enrollment ID: I20241127003317 |
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