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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