Anchor Bay Counseling Center LLC
Organization Active NPI Community/Behavioral Health Agency · Spooner, WI
NPI 1386189363 · NPPES record last updated Dec 29, 2016
Key facts
- NPI
- 1386189363
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 3433-125 (WI)
- Legal business name
- ANCHOR BAY COUNSELING CENTER LLC
- Practice address
- 329 S River St # 301
Spooner, WI 54801-9726 - Phone
- (715) 939-1393
- Fax
- (715) 939-1394
- NPI assigned
- Dec 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Darren Douglas Cox, MA
- Title
- Owner
- Phone
- (715) 939-1393
Practitioners 2
-
Cynthia J Peer, MS, LPC, LSAC, LSW
National Provider Directory
Locations
W7164 Green Valley Rd
Ste 2
Spooner, WI 54801
Phone (715) 939-1392
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3433-125 | WI | Yes |
Addresses
Primary practice location
329 S River St # 301
Spooner, WI 54801-9726
Mailing address
PO Box 574
Spooner, WI 54801-0574
Phone (715) 939-1393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40980600 | Medicaid | WI |
Other providers in Spooner, WI
- Shalla Marlene Acker
- Advantage Physical Therapy & Sports Rehab, LLC
- David Richard Anderson
- Kaycie Lee Anderson
- Aurora Community Counseling Employee Support and Services, Inc.
- Dellin Richard Bakkum
- Adam James Barg
All providers in Spooner, WI · Community/Behavioral Health Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.