Anchored Soul Counseling, Pllc

LBN: Anchored Soul Counseling, Pllc
Anchored Soul Counseling, Pllc is an health care organization with primary practice located at 262 State St Ste C , North Haven CT 06473-2273. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Anchored Soul Counseling, Pllc can be contacted via phone (203) 980-7454, or through Mahon, Shane via phone (203) 980-7454.

Contact Information

Primary practice address
262 State St Ste C North Haven CT 06473-2273
Phone: (203) 980-7454
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mahon, Shane Licensed Clinical Social Worker (LCSW)
Phone: (203) 980-7454

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1619515962
LBN Legal business name Anchored Soul Counseling, Pllc
DBA Doing business as
Authorized official Mahon, Shane Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2019
Last updated May 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619515962 NPPES
Connecticut MEDICAID 1457949117
Connecticut MEDICAID 1841774254

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