Provider Demographics
NPI:1386452761
Name:PRICE, ANCHALEE MARY (EDS)
Entity type:Individual
Prefix:
First Name:ANCHALEE
Middle Name:MARY
Last Name:PRICE
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:ANCHALEE
Other - Middle Name:MARY
Other - Last Name:RINIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:135 EAGLE CHASE CT
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-8753
Mailing Address - Country:US
Mailing Address - Phone:803-319-0483
Mailing Address - Fax:
Practice Address - Street 1:426 S LAKE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3414
Practice Address - Country:US
Practice Address - Phone:803-814-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8637101YP2500X
SC9175106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional