Provider Demographics
NPI:1104788637
Name:ANCHOR AND LIGHT BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ANCHOR AND LIGHT BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, APRN-CNP, PMHNP-BC
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-CNP, PMHNP
Authorized Official - Phone:513-469-1413
Mailing Address - Street 1:8666 BEECHMONT AVE # 1027
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4710
Mailing Address - Country:US
Mailing Address - Phone:513-496-1413
Mailing Address - Fax:
Practice Address - Street 1:5398 SPRUCE MEADOWS CT
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-7509
Practice Address - Country:US
Practice Address - Phone:513-496-1413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty