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Organization

ANCHORED HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH KENNETH THIBEAUX JR. (CEO)
(225) 810-6134
Entity
Organization

Contact information

Practice address
201 SWEET RIDGE WAY, YOUNGSVILLE, LA 70592-4504
(225) 810-6134
Mailing address
201 SWEET RIDGE WAY, YOUNGSVILLE, LA 70592-4504
(225) 810-6134

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center
261QF0050X
Non-Surgical Family Planning Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
261QH0100X
Health Service Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
261QM2800X
Methadone Clinic
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
03/06/2024
Last updated
03/06/2024
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