Anchored Hope Clinic, PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Hattiesburg, MS
NPI 1093485930 · NPPES record last updated Jan 15, 2022
Key facts
- NPI
- 1093485930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ANCHORED HOPE CLINIC, PLLC
- Practice address
- 423 Weathersby Rd Ste 180
Hattiesburg, MS 39402-1132 - Phone
- (601) 376-9144
- Fax
- (601) 429-9300
- NPI assigned
- Sep 13, 2021
- Organization subpart
- No
Authorized official
- Name
- Racheal Pritchett, PMHNP
- Title
- Member
- Phone
- (601) 376-9144
Practitioners 1
-
Racheal Marie Pritchett, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211007000015 | MS | Part B Supplier - Clinic/Group Practice | 8123426012 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MS |
National Provider Directory
Locations
220 W Pine St
Hattiesburg, MS 39401
Phone (601) 337-9995
2626 Southerland St
Ste 100
Jackson, MS 39216
Phone (601) 376-9144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
423 Weathersby Rd Ste 180
Hattiesburg, MS 39402-1132
Mailing address
423 Weathersby Rd Ste 180
Hattiesburg, MS 39402-1132
Phone (601) 376-9144
Other practice location 1
2626 Southerland St Ste 100
Jackson, MS 39216-4825
Phone (601) 376-9144
Other names
- Anchored Hope Clinic
Other providers in Hattiesburg, MS
- Amy Grubbs, NP-C, PLLC
- Roger Anastasio
- Anatomies, Inc.
- Gregg Anazia
- Tasheitha Anazia
- Asyeona Azaria Alyss Anderson
- Brittney Hiatt Anderson
- Connie L Anderson
- Courtney Anderson
- Delaney Anderson
All providers in Hattiesburg, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.