| The Anchor Clinic | |
|
907 Carter Ave Ste 3 Philadelphia MS 39350-3645 | |
| (601) 650-8150 | |
| (601) 429-9281 |
| Full Name | The Anchor Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 907 Carter Ave Ste 3, Philadelphia, Mississippi |
| Authorized Official Name and Position | Amanda Gail Conerly (THERAPIST/OWNER) |
| Authorized Official Contact | 6016508150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Anchor Clinic Po Box 1111 Philadelphia MS 39350-1111 Ph: (601) 650-8150 | The Anchor Clinic 907 Carter Ave Ste 3 Philadelphia MS 39350-3645 Ph: (601) 650-8150 |
| NPI Number | 1922513761 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922513761 | NPI | - | NPPES |
| 06773349 | Medicaid | MS | |
| 5605726 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1588 (Mississippi) | Primary |
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