Organization
ANCHOR PSYCHOLOGICAL & COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY M GODIN MA, LPC LPA (OWNER)
(910) 270-9995
Entity
Organization
Contact information
Practice address
16581 US HWY 17 N, SUITE 600, HAMPSTEAD, NC 28443-7451
(910) 270-9995
(910) 270-9905
Mailing address
16581 US HWY 17 N, SUITE 600, HAMPSTEAD, NC 28443-7451
(910) 270-9995
(910) 270-9905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4801
NC
103TB0200X
Cognitive & Behavioral Psychologist
2335
NC
103TC0700X
Clinical Psychologist
Primary
2335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006154
—
NC
Enumeration date
06/29/2007
Last updated
07/31/2012
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