Provider Demographics
NPI:1144995184
Name:ANCHOR BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ANCHOR BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANANKIA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-287-9945
Mailing Address - Street 1:PO BOX 769
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-0769
Mailing Address - Country:US
Mailing Address - Phone:860-506-7272
Mailing Address - Fax:
Practice Address - Street 1:1 FORT HILL RD STE 3
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4799
Practice Address - Country:US
Practice Address - Phone:860-506-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty