Provider Demographics
NPI:1124981311
Name:ANCHOR FOR CHANGE GLOBAL LLC
Entity type:Organization
Organization Name:ANCHOR FOR CHANGE GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WICKENX
Authorized Official - Suffix:
Authorized Official - Credentials:DSW,MSW,LISWCP
Authorized Official - Phone:803-413-3623
Mailing Address - Street 1:759 WHITE BLOSSOM CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6416
Mailing Address - Country:US
Mailing Address - Phone:803-413-3622
Mailing Address - Fax:
Practice Address - Street 1:3750 BEACON DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-8063
Practice Address - Country:US
Practice Address - Phone:803-413-3622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty