Organization
ANCHORS AWEIGH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICKY TREADWAY LMHC (OWNER)
(561) 315-4841
Entity
Organization
Contact information
Practice address
1814 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(561) 315-4841
Mailing address
1814 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(561) 315-4841
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497060404
NPI
—
Enumeration date
06/02/2020
Last updated
06/02/2020
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