Organization
ANCHORED IN HOPE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA M MCCULLOCH LISW-S (OWNER, CLINICAL DIRECTOR)
(419) 656-7954
Entity
Organization
Contact information
Practice address
1690 WOODLANDS DR STE 200, MAUMEE, OH 43537-4045
(419) 491-0420
(567) 698-7875
Mailing address
PO BOX 823, PERRYSBURG, OH 43552-0823
(419) 656-7954
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260323
—
OH
Enumeration date
10/26/2018
Last updated
02/19/2024
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