Anchored In Hope Counseling, Llc | |
1690 Woodlands Dr Ste 200 Maumee OH 43537-4045 | |
(419) 491-0420 | |
(567) 698-7875 |
Full Name | Anchored In Hope Counseling, Llc |
---|---|
Speciality | Social Worker |
Location | 1690 Woodlands Dr Ste 200, Maumee, Ohio |
Authorized Official Name and Position | Krista M Mcculloch (OWNER, CLINICAL DIRECTOR) |
Authorized Official Contact | 4196567954 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anchored In Hope Counseling, Llc Po Box 823 Perrysburg OH 43552-0823 Ph: (419) 656-7954 | Anchored In Hope Counseling, Llc 1690 Woodlands Dr Ste 200 Maumee OH 43537-4045 Ph: (419) 491-0420 |
NPI Number | 1437626587 |
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Provider Enumeration Date | 10/26/2018 |
Last Update Date | 02/19/2024 |
Certification Date | 02/19/2024 |
Medicare PECOS PAC ID | 5294166138 |
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Medicare Enrollment ID | O20200511000654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437626587 | NPI | - | NPPES |
0260323 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Krista Mcculloch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124453907 PECOS PAC ID: 0749611564 Enrollment ID: I20200512001471 |
Provider Name | Daniel Huesman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902319353 PECOS PAC ID: 9234588203 Enrollment ID: I20231215002320 |
Provider Name | Andrea Leigh Bain-frye |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811557473 PECOS PAC ID: 0749602928 Enrollment ID: I20240313002490 |
Provider Name | Jessica Rae Huesman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689058182 PECOS PAC ID: 7618313545 Enrollment ID: I20240313002562 |
Provider Name | Cassandra A Graff |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275872277 PECOS PAC ID: 2961848890 Enrollment ID: I20240313002643 |
Provider Name | Kaitlin M Nitz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710427745 PECOS PAC ID: 8426496241 Enrollment ID: I20240329000464 |
Anchored In Hope Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodlands Dr Ste 200, Maumee, OH 43537 Phone: 419-491-0420 Fax: 567-698-7875 | |
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