Provider Demographics
NPI:1538036744
Name:ANCHOR & COMPASS THERAPY, LLC
Entity type:Organization
Organization Name:ANCHOR & COMPASS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:818-939-2773
Mailing Address - Street 1:2007 TRAILBLAZER CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-4904
Mailing Address - Country:US
Mailing Address - Phone:818-939-2773
Mailing Address - Fax:
Practice Address - Street 1:2007 TRAILBLAZER CT
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:ID
Practice Address - Zip Code:83644-4904
Practice Address - Country:US
Practice Address - Phone:818-939-2773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services