Organization Name: | ACCESS THERAPY SERVICES |
NPI Number: | 1003069188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNIE FONGHEISER (OWNER) |
Mailing Address: | 409 Arrowood Ave Lancaster |
State: | SC US |
Postal Code: | 297201503 |
Phone Number: | 7048134555 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2008 |
NPI Last Update Date: | 11/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |