Provider Demographics
NPI:1689484396
Name:ANCHOR OF HOPE PSYCHIATRY PLLC
Entity type:Organization
Organization Name:ANCHOR OF HOPE PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ADEKITAN
Authorized Official - Middle Name:OLUSEGUN
Authorized Official - Last Name:ADEROJU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:469-215-4466
Mailing Address - Street 1:1222 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-8223
Mailing Address - Country:US
Mailing Address - Phone:469-215-4466
Mailing Address - Fax:
Practice Address - Street 1:1222 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-8223
Practice Address - Country:US
Practice Address - Phone:469-215-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health