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Organization
SHOUTED SILENCE SERVICES, LLC
Active
Organization
SHOUTED SILENCE SERVICES, LLC
Active
Other names
The Anchor Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GAIL CONERLY LPC, NCC (THERAPIST/OWNER)
(601) 650-8150
Entity
Organization
Contact information
Practice address
907 CARTER AVE STE 3, PHILADELPHIA, MS 39350-3645
(601) 650-8150
(601) 429-9281
Mailing address
PO BOX 1111, PHILADELPHIA, MS 39350-1111
(601) 650-8150
(601) 650-8150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1588
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06773349
—
MS
01
—
5605726
CIGNA
—
Enumeration date
12/01/2017
Last updated
10/21/2022
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