Anchored Hope, LLC
Organization Active NPI Mental Health Counselor · Du Quoin, IL
NPI 1922590462 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1922590462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 149.018640 (IL)
- Legal business name
- ANCHORED HOPE, LLC
- Practice address
- 6 S Washington St
Du Quoin, IL 62832-1312 - Phone
- (618) 967-0363
- NPI assigned
- May 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. T.Aira Hampleman, LCSW
- Title
- Therapist
- Phone
- (618) 967-0363
National Provider Directory
Locations
6 S Washington St
Du Quoin, IL 62832
Phone (618) 790-9156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 149.018640 | IL | Yes |
| Mental Health Counselor |
101YM0800X | 149020041 | IL |
Addresses
Primary practice location
6 S Washington St
Du Quoin, IL 62832-1312
Mailing address
706 S Jesse St
Christopher, IL 62822-1438
Phone (618) 967-0363
Other providers in Du Quoin, IL
All providers in Du Quoin, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. 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.