Provider Demographics
NPI:1427485176
Name:ANCHOR COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:ANCHOR COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BOLTON
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-470-3745
Mailing Address - Street 1:100 STATE ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1452
Mailing Address - Country:US
Mailing Address - Phone:814-470-3745
Mailing Address - Fax:
Practice Address - Street 1:100 STATE ST
Practice Address - Street 2:SUITE 312
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1452
Practice Address - Country:US
Practice Address - Phone:814-470-3745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty