ANCHORED HOPE CLINIC PLLC NPI 1093485930

NPI Information

NPI: 1093485930
Provider Name: ANCHORED HOPE CLINIC, PLLC

Doing Business As: ANCHORED HOPE CLINIC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
423 WEATHERSBY RD STE 180
HATTIESBURG, MS
ZIP 39402
Phone: (601) 376-9144
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ANCHORED HOPE CLINIC, PLLC is a psychiatric/mental health nurse practitioner in Hattiesburg, MS. ANCHORED HOPE CLINIC, PLLC NPI is 1093485930. The provider is registered as an organization entity type.
The provider Is Doing Business As Anchored Hope Clinic.

The provider's business location address is:

423 WEATHERSBY RD STE 180
HATTIESBURG, MS
ZIP 39402-132
Phone: (601) 376-9144
Fax: (601) 429-9300

The provider's authorized official is Racheal Pritchett .
The authorized official title is Member and has the following contact phone number (601) 376-9144.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 1/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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