Provider Demographics
NPI:1841306438
Name:ANCHOR OF HOPE COUNSELING OF CLEMSON, PA
Entity type:Organization
Organization Name:ANCHOR OF HOPE COUNSELING OF CLEMSON, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:THREADGILL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:864-654-7858
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:214 KEOWEE TRAIL
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29633-0187
Mailing Address - Country:US
Mailing Address - Phone:864-654-7858
Mailing Address - Fax:864-654-7972
Practice Address - Street 1:214 KEOWEE TRL
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-1448
Practice Address - Country:US
Practice Address - Phone:864-654-7858
Practice Address - Fax:864-654-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)