Provider Demographics
NPI:1063968584
Name:ANCHOR CONSULTING SERVICES
Entity type:Organization
Organization Name:ANCHOR CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:R.
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-649-9989
Mailing Address - Street 1:1012 W CROSS ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2103
Mailing Address - Country:US
Mailing Address - Phone:734-649-9989
Mailing Address - Fax:
Practice Address - Street 1:1012 W CROSS ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2103
Practice Address - Country:US
Practice Address - Phone:734-649-9989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010082251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health