Anchor Mental Health and Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09425 Issued in LA

Legal business name

ANCHOR MENTAL HEALTH AND WELLNESS, PLLC

Practice address

1943 Barbe St
Lake Charles, LA 70601-5748

Phone

(409) 720-8709

NPI assigned

Jul 17, 2017

Organization subpart

No

Name

Bethanne Fondren Carson, PHMNP

Title

Pmhnp

Phone

(409) 720-8709

• Anchor Mental Health and Wellness Doing business as
• Anchor Mental Health and Wellness, PLLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2023.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689379200000",
    "number": "1992227425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 BARBE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015748",
            "telephone_number": "409-720-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 BARBE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015748",
            "telephone_number": "409-720-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR MENTAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "BETHANNE",
        "authorized_official_middle_name": "FONDREN",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "409-720-8709",
        "authorized_official_credential": "PHMNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anchor Mental Health and Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anchor Mental Health and Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amian Health Services of Lake Charles
• Amian Health Services of Lake Charles
• Jared Christopher Amiot, PT, DPT
• Christy Drum Ammons, D.D.S.
• Insik An
• Petreana Anderson-Anderson
• Alex Anderson, M.D.
• Andre Anderson II, BS
• Cheryl Anderson, LMT
• James M. Anderson, M.D.

• All providers in Lake Charles, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.