Organization Name: | MCPHERSON COUNSELING SERVICES, INC |
NPI Number: | 1144307828 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL MCPHERSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 850310 Us Highway 17 Yulee |
State: | FL US |
Postal Code: | 320979036 |
Phone Number: | 9045480160 |
Fax Number: | 9045480158 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0445AD146701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |