Provider Demographics
NPI:1124691852
Name:ANCHORED ALLIANCE COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:ANCHORED ALLIANCE COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-325-2443
Mailing Address - Street 1:1900 GREYSTONE SUMMIT DR UNIT 1925
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-7776
Mailing Address - Country:US
Mailing Address - Phone:770-656-0590
Mailing Address - Fax:
Practice Address - Street 1:1900 GREYSTONE SUMMIT DR UNIT 1925
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-7776
Practice Address - Country:US
Practice Address - Phone:770-656-0590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty