# ANCHORED GRACE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255924049
- **Authorized official:** REBECCA BOWMAN LCSW (OWNER)
- **Authorized official phone:** (541) 539-0888

## Contact information

- **Practice address:** 888 NW EWEN ST, PRINEVILLE, OR 97754-1512
- **Practice address phone:** (541) 539-0888
- **Mailing address:** 888 NW EWEN ST, PRINEVILLE, OR 97754-1512
- **Mailing address phone:** (541) 539-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2021
- **Last updated:** 02/12/2021